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1285103200
ASHADIEEYAH LATIFA KARIMA BARAKAT
LODI, CA
NPI
1285103200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-11-20
Last Update Date
2018-11-20
Business Address
ASHADIEEYAH LATIFA KARIMA BARAKAT
441 S HAM LN STE A
LODI, CA 95242-3525
Phone number: 209-224-8940
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Mailing Address
ASHADIEEYAH LATIFA KARIMA BARAKAT
441 S HAM LN STE A
LODI, CA 95242-3525
Phone number: 209-244-8940
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