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1710178819
SHIRLEY ANN BENNETT
PASADENA, CA
NPI
1710178819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-08-05
Last Update Date
2007-08-05
Business Address
Mrs. SHIRLEY ANN BENNETT R.A.S.
1811 N RAYMOND AVE
PASADENA, CA 91103-1840
Phone number: 626-345-9992
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Mailing Address
Mrs. SHIRLEY ANN BENNETT R.A.S.
1811 N RAYMOND AVE
PASADENA, CA 91103-1840
Phone number: 626-345-9992
Copy
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