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1952885063
DANIELLE SHADAE ELIZABETH ROSE
SACRAMENTO, CA
NPI
1952885063
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-09-25
Last Update Date
2020-09-17
Business Address
DANIELLE SHADAE ELIZABETH ROSE
630 BERCUT DR STE C
SACRAMENTO, CA 95811-0110
Phone number: 916-441-3819
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Mailing Address
DANIELLE SHADAE ELIZABETH ROSE
630 BERCUT DR STE C
SACRAMENTO, CA 95811-0110
Phone number: 916-441-3819
Copy
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