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1346759719
LATISHA PATRICE THOMPSON
STOCKTON, CA
NPI
1346759719
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-09-28
Last Update Date
2017-09-28
Business Address
LATISHA PATRICE THOMPSON
3324 ANNE ST
STOCKTON, CA 95206-3835
Phone number: 209-598-6450
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Mailing Address
LATISHA PATRICE THOMPSON
2495 W MARCH LN
STOCKTON, CA 95207-8251
Phone number: 209-465-1080
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