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1164913166
LATANYA RACQUEL BATES
SAN DIEGO, CA
NPI
1164913166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 105862)
Enumeration Date
2018-05-24
Last Update Date
2023-01-13
Business Address
LATANYA RACQUEL BATES LCSW
2525 CAMINO DEL RIO S STE 130
SAN DIEGO, CA 92108-3718
Phone number: 619-736-4182
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Mailing Address
LATANYA RACQUEL BATES LCSW
2525 CAMINO DEL RIO S STE 130
SAN DIEGO, CA 92108-3718
Phone number: 619-736-4182
Copy
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