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1366635526
LA TANYA ALICIA TAKLA
MENLO PARK, CA
NPI
1366635526
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Former Name
LA TANYA ALICIA TRAILER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA 32391)
Enumeration Date
2007-08-21
Last Update Date
2021-09-22
Business Address
Dr. LA TANYA ALICIA TAKLA EdD, LMFT, LPCC
3705 HAVEN AVE STE 112
MENLO PARK, CA 94025-1011
Phone number: 916-827-3058
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Mailing Address
Dr. LA TANYA ALICIA TAKLA EdD, LMFT, LPCC
1343 MAGNOLIA AVE
MODESTO, CA 95350-5249
Phone number: 916-827-3058
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