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SHANNON MAUREEN CALDE 56075

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1205001153

Individual Registrant:
 SHANNON MAUREEN CALDE 56075
Gender: F
Sole Proprietor

Location and contact information for practice:
360 N SEPULVEDA BLVD SUITE 2075 EL SEGUNDO, CA 90245-4460 US
Tel: 310-424-2090  Fax: 310-424-2096

Contact information for business:
360 N SEPULVEDA BLVD SUITE 2075 EL SEGUNDO, CA 90245-4460 US
Tel: 310-424-2090  Fax: 310-424-2096

Registration Information:
NPI: 1205001153
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CA56075

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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