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1770070179
POONAM MINNIE SHUKLA
SAN JOSE, CA
NPI
1770070179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: CA 100198)
Enumeration Date
2018-04-20
Last Update Date
2018-04-20
Business Address
Mrs. POONAM MINNIE SHUKLA LMFT
2001 THE ALAMEDA
SAN JOSE, CA 95126-1136
Phone number: 408-261-7777
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Mailing Address
Mrs. POONAM MINNIE SHUKLA LMFT
19450 BURGUNDY WAY
SARATOGA, CA 95070-6130
Phone number: 408-406-5525
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