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1043357809
LAKITA DENISE LONG
ANTIOCH, CA
NPI
1043357809
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 79723)
Enumeration Date
2007-01-31
Last Update Date
2014-10-28
Business Address
MS. LAKITA DENISE LONG MS
915 W 4TH ST
ANTIOCH, CA 94509-1118
Phone number: 925-238-8711
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Mailing Address
MS. LAKITA DENISE LONG MS
PO BOX 3902
ANTIOCH, CA 94531-3902
Phone number: 925-238-8711
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