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1104175918
LETISHA LEVATTE CALDWELL
FRESNO, CA
NPI
1104175918
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-09-07
Last Update Date
2012-09-07
Business Address
-- LETISHA LEVATTE CALDWELL
611 E BELMONT AVE
FRESNO, CA 93701-1502
Phone number: 559-237-3420
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Mailing Address
-- LETISHA LEVATTE CALDWELL
1150 E HERNDON AVE #241
FRESNO, CA 93720-3153
Phone number: 559-974-2899
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