Individual
MRS. GERRY KATHLEEN SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
1660 E ROSEVILLE PKWY, ROSEVILLE, CA 95661-3988
(916) 878-4016
Mailing address
1660 E ROSEVILLE PKWY, ROSEVILLE, CA 95661-3988
(916) 878-4016
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
LCS 19048
CA
Other
Enumeration date
06/30/2005
Last updated
07/08/2007
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