MELISSA SHANE

SAN DIEGO, CA
NPI1962727362
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  24173)
Enumeration Date2010-03-29
Last Update Date2010-03-29
Business Address
-- MELISSA SHANE LCSW
3606 FRONT ST
SAN DIEGO, CA 92103-4005
Phone number: 619-204-7712
Mailing Address
-- MELISSA SHANE LCSW
PO BOX 23845
SAN DIEGO, CA 92193-3845
Phone number: 619-204-7712