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1174945968
LAKEDIA DAVIS
SAN LEANDRO, CA
NPI
1174945968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-01-13
Last Update Date
2014-01-13
Business Address
-- LAKEDIA DAVIS
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1446
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Mailing Address
-- LAKEDIA DAVIS
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1446
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