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1891852471
SHELLEY DIANE BLACK-GONZALEZ
SYLMAR, CA
NPI
1891852471
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 18327)
Enumeration Date
2007-01-02
Last Update Date
2012-06-29
Business Address
-- SHELLEY DIANE BLACK-GONZALEZ LCSW
14659 OLIVE VIEW DR
SYLMAR, CA 91342-1652
Phone number: 818-485-0888
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Mailing Address
-- SHELLEY DIANE BLACK-GONZALEZ LCSW
14659 OLIVE VIEW DR
SYLMAR, CA 91342-1652
Phone number: 818-485-0888
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