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1346602521
LATISHA JENKINS LEAGUE
VALLEJO, CA
NPI
1346602521
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-03-25
Last Update Date
2023-07-19
Business Address
LATISHA JENKINS LEAGUE
508 ALABAMA ST
VALLEJO, CA 94590-4446
Phone number: 510-680-6556
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Mailing Address
LATISHA JENKINS LEAGUE
508 ALABAMA ST
VALLEJO, CA 94590-4446
Phone number: 707-485-9957
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