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1154085868
ALICIA LATRICE THOMAS
LEMON GROVE, CA
NPI
1154085868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-10-28
Last Update Date
2021-10-28
Business Address
ALICIA LATRICE THOMAS
2049 SKYLINE DR
LEMON GROVE, CA 91945-4221
Phone number: 619-465-7303
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Mailing Address
ALICIA LATRICE THOMAS
2049 SKYLINE DR
LEMON GROVE, CA 91945-4221
Phone number: 619-465-7303
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