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1922782580
IMANI DANIELLE SHUBIN
SANTA ROSA, CA
NPI
1922782580
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-06-14
Last Update Date
2023-06-14
Business Address
IMANI DANIELLE SHUBIN
540 MIDDLE RINCON RD
SANTA ROSA, CA 95409-3107
Phone number: 707-909-0168
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Mailing Address
IMANI DANIELLE SHUBIN
540 MIDDLE RINCON RD
SANTA ROSA, CA 95409-3107
Phone number: 707-909-0168
Copy
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