LATASHA MACK

STOCKTON, CA
NPI1033385711
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-05-02
Last Update Date2008-05-02
Business Address
-- LATASHA MACK
8026 LORRAINE AVE STE 201
STOCKTON, CA 95210-4224
Phone number: 209-644-6328
Mailing Address
-- LATASHA MACK
8026 LORRAINE AVE STE 201
STOCKTON, CA 95210-4224
Phone number: 209-644-6328
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