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1346600921
LATASHA MCDONALD
SAN BERNARDINO, CA
NPI
1346600921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 4263-R)
Enumeration Date
2016-02-25
Last Update Date
2016-02-25
Business Address
Ms. LATASHA MCDONALD
1365 NORTH F STREET
SAN BERNARDINO, CA 92405-0123
Phone number: 909-677-8065
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Mailing Address
Ms. LATASHA MCDONALD
1365 NORTH F ST
SAN BERNARDINO, CA 92405-0123
Phone number: 909-677-8065
Copy
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