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1285417204
SHANTAI LAMAQUE
VICTORVILLE, CA
NPI
1285417204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA APCC13722)
Enumeration Date
2023-08-15
Last Update Date
2023-08-15
Business Address
SHANTAI LAMAQUE
15756 LA JOYA PL
VICTORVILLE, CA 92394-2116
Phone number: 760-220-2839
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Mailing Address
SHANTAI LAMAQUE
15756 LA JOYA PL
VICTORVILLE, CA 92394-2116
Phone number: 760-220-2839
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