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1811076037
SHANELL DENIQUA MCKINLEY
SACRAMENTO, CA
NPI
1811076037
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2006-11-06
Last Update Date
2007-07-08
Business Address
SHANELL DENIQUA MCKINLEY
3990 BRANCH CENTER RD
SACRAMENTO, CA 95827-3809
Phone number: 916-549-6264
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Mailing Address
SHANELL DENIQUA MCKINLEY
1141 BELL ST APT 2
SACRAMENTO, CA 95825-3566
Phone number: 916-549-6264
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