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1114243649
ALISA LATRICE FLAKES
RIVERSIDE, CA
NPI
1114243649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC 47888)
Enumeration Date
2010-04-08
Last Update Date
2010-04-08
Business Address
-- ALISA LATRICE FLAKES LMFT
769 W BLAINE ST STE A
RIVERSIDE, CA 92507-3970
Phone number: 951-358-6895
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Mailing Address
-- ALISA LATRICE FLAKES LMFT
16433 GELDING WAY
MORENO VALLEY, CA 92555-3313
Phone number: 951-243-6906
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