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1790453785
SHANIE M PHILLIPS
SACRAMENTO, CA
NPI
1790453785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2021-09-02
Last Update Date
2021-09-02
Business Address
SHANIE M PHILLIPS
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823-2006
Phone number: 916-395-3552
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Mailing Address
SHANIE M PHILLIPS
500 22ND ST
SACRAMENTO, CA 95816-3503
Phone number: 916-604-2038
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