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1811031289
SALAAM AJALA SHABAZZ
WEST SACRAMENTO, CA
NPI
1811031289
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Former Name
SEAN ANTHONY PICKETT
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 81118)
Enumeration Date
2007-02-17
Last Update Date
2015-08-31
Business Address
Mr. SALAAM AJALA SHABAZZ
500 JEFFERSON BLVD SUITE B
WEST SACRAMENTO, CA 95605-2350
Phone number: 530-758-4078
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Mailing Address
Mr. SALAAM AJALA SHABAZZ
500 JEFFERSON BLVD SUITE B
WEST SACRAMENTO, CA 95605-2350
Phone number: 530-758-4078
Copy
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