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Individual

MICHAEL SHEAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
800 SCENIC DR, MODESTO, CA 95350-6131
(209) 558-4238
Mailing address
503 S PERSHING AVE, STOCKTON, CA 95203-3236
(209) 810-5864

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN407115
CA

Other

Enumeration date
02/01/2012
Last updated
02/14/2013
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