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1396201810
LATRISE M MUCHISON
TRAVIS AFB, CA
NPI
1396201810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 102355)
Enumeration Date
2019-02-20
Last Update Date
2021-10-29
Business Address
LATRISE M MUCHISON LCSW
101 BODIN CIR
TRAVIS AFB, CA 94535-1809
Phone number: 707-423-5168
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Mailing Address
LATRISE M MUCHISON LCSW
101 BODIN CIR
TRAVIS AFB, CA 94535-1809
Phone number: 707-423-5168
Copy
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