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1386060101
LETITIA MASK
ROSEVILLE, CA
NPI
1386060101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-03-18
Last Update Date
2019-09-26
Business Address
LETITIA MASK
1133 COLOMA WAY
ROSEVILLE, CA 95661-4480
Phone number: 916-774-6647
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Mailing Address
LETITIA MASK
1133 COLOMA WAY
ROSEVILLE, CA 95661-4480
Phone number: 916-774-6647
Copy
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