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1013330331
LATISHA HALE
MODESTO, CA
NPI
1013330331
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-01-22
Last Update Date
2014-01-22
Business Address
Mrs. LATISHA HALE
916 MCHENRY AVE
MODESTO, CA 95350-5417
Phone number: 209-550-5850
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Mailing Address
Mrs. LATISHA HALE
916 MCHENRY AVE
MODESTO, CA 95350-5417
Phone number: 209-550-5850
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