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1124670104
ANTONETTE LASHAWN LACEY
SAN LEANDRO, CA
NPI
1124670104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-07-10
Last Update Date
2019-07-10
Business Address
ANTONETTE LASHAWN LACEY
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1444
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Mailing Address
ANTONETTE LASHAWN LACEY
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1444
Copy
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