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1891328688
SHANNAH SPAIN
SAN DIEGO, CA
NPI
1891328688
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-02-20
Last Update Date
2023-07-18
Business Address
SHANNAH SPAIN
8910 CLAIREMONT MESA BLVD
SAN DIEGO, CA 92123-1104
Phone number: 858-514-5144
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Mailing Address
SHANNAH SPAIN
8910 CLAIREMONT MESA BLVD
SAN DIEGO, CA 92123-1104
Phone number: 619-922-8071
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