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Individual

SHAWNA MARIE HIGLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CAODC

Contact information

Practice address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 525-7441
Mailing address
2401 DENNY CT, CERES, CA 95307-3134
(209) 809-8368

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10398
CA
374700000X
Technician
Primary

Other

Enumeration date
04/17/2018
Last updated
04/18/2018
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