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1962727362
MELISSA SHANE
SAN DIEGO, CA
NPI
1962727362
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 24173)
Enumeration Date
2010-03-29
Last Update Date
2010-03-29
Business Address
-- MELISSA SHANE LCSW
3606 FRONT ST
SAN DIEGO, CA 92103-4005
Phone number: 619-204-7712
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Mailing Address
-- MELISSA SHANE LCSW
PO BOX 23845
SAN DIEGO, CA 92193-3845
Phone number: 619-204-7712
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