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1831693282
SHANAE SIMON
OAKLAND, CA
NPI
1831693282
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2018-03-21
Last Update Date
2018-11-30
Business Address
SHANAE SIMON
1266 14TH ST
OAKLAND, CA 94607-2205
Phone number: 510-273-4700
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Mailing Address
SHANAE SIMON
1301 E ORANGEWOOD AVE
ANAHEIM, CA 92805-6807
Phone number: 800-249-1266
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