LACI PRATHER

MODESTO, CA
NPI1154963916
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-10-14
Last Update Date2019-10-14
Business Address
LACI PRATHER Radt1
1405 11TH ST
MODESTO, CA 95354-0748
Phone number: 209-284-0970
Mailing Address
LACI PRATHER Radt1
1030 CALIFORNIA AVE
MODESTO, CA 95351-2102
Phone number: 209-735-1133
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