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Individual

SCOTT SHIRLOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1260 N DUTTON AVE STE 105, SANTA ROSA, CA 95401-7121
(707) 568-2300
(707) 568-2304
Mailing address
1260 N DUTTON AVE STE 105, SANTA ROSA, CA 95401-7121
(707) 568-2300
(707) 568-2304

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary

Other

Enumeration date
10/01/2019
Last updated
10/01/2019
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