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1235771106
AHLAYAH DAVIANAH SHABAZZ
ALAMEDA, CA
NPI
1235771106
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Former Name
AHLAYAH D SHABAZZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: CA 101YM0800X)
Enumeration Date
2019-10-12
Last Update Date
2019-10-12
Business Address
MS. AHLAYAH DAVIANAH SHABAZZ
1025 ATLANTIC AVE
ALAMEDA, CA 94501-1189
Phone number: 510-268-8120
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Mailing Address
MS. AHLAYAH DAVIANAH SHABAZZ
1025 ATLANTIC AVE
ALAMEDA, CA 94501-1189
Phone number: 510-268-8120
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