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Organization
SUE E. SHRADER,MFT
Active
Organization
SUE E. SHRADER,MFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUE E HANES MARRIAGE FAMILY THER (SUE E. SHRADER, MFT)
(858) 337-5291
Entity
Organization
Contact information
Practice address
4445 EASTGATE MALL, SAN DIEGO, CA 92121-1979
(858) 337-5291
(619) 269-5091
Mailing address
4445 EASTGATE MALL, SAN DIEGO, CA 92121-1979
(858) 337-5291
(619) 269-5091
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MFC30118
CA
Other
Enumeration date
08/14/2008
Last updated
08/20/2008
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