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1730434531
SHANE T SHERIDAN
ALAMEDA, CA
NPI
1730434531
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-07-17
Last Update Date
2012-07-17
Business Address
-- SHANE T SHERIDAN
2325 CLEMENT AVE
ALAMEDA, CA 94501-7061
Phone number: 510-629-6300
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Mailing Address
-- SHANE T SHERIDAN
2325 CLEMENT AVE
ALAMEDA, CA 94501-7061
Phone number: 510-629-6300
Copy
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