Shana Gaviglio Kenney
Shana Gaviglio Kenney is a Community/Behavioral Health Agency in San Rafael, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2014
Practice location Address checks out
1665 Grand AveSan Rafael, CA 94901-2211
Phone: (415) 258-9572
Fax: (415) 258-9572
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X (CA) |
|---|
Record details
| NPI number | 1376957373 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 17, 2014 |
| Last updated in NPPES | June 17, 2014 |
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