SHEA PROPHET

SAN DIEGO, CA
NPI1730641408
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  121696)
Enumeration Date2019-04-02
Last Update Date2020-11-09
Business Address
SHEA PROPHET
6160 MISSION GORGE RD
SAN DIEGO, CA 92120-3410
Phone number: 194-813-7906
Mailing Address
SHEA PROPHET
7525 PACIFIC AVE APT H
LEMON GROVE, CA 91945-2338
Phone number: 915-549-2339
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