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1477022689
LATRECIA LATICE FORD
SAN ANTONIO, TX
NPI
1477022689
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 75816)
Enumeration Date
2018-11-16
Last Update Date
2018-11-16
Business Address
Miss LATRECIA LATICE FORD LPC
4211 WHITNEY GREEN
SAN ANTONIO, TX 78244-7824
Phone number: 210-781-5831
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Mailing Address
Miss LATRECIA LATICE FORD LPC
4211 WHITNEY GRN
SAN ANTONIO, TX 78244-1682
Phone number: 210-781-5831
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