LATASHA JACKSON

FAIRFIELD, CA
NPI1275171829
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2019-12-13
Last Update Date2024-03-26
Business Address
LATASHA JACKSON
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-784-8875
Mailing Address
LATASHA JACKSON
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number:
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