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1679233811
MICHELLE SHIVELY
EUREKA, CA
NPI
1679233811
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-12-29
Last Update Date
2021-12-29
Business Address
MICHELLE SHIVELY
2413 2ND ST
EUREKA, CA 95501-0811
Phone number: 707-269-9590
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Mailing Address
MICHELLE SHIVELY
455 UNION ST APT 52
ARCATA, CA 95521-6433
Phone number: 707-572-2899
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