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1508193178
KASHANTA SHANEA DARTEZ-SMITH
STOCKTON, CA
NPI
1508193178
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-11-03
Last Update Date
2009-11-03
Business Address
-- KASHANTA SHANEA DARTEZ-SMITH
1414 N CALIFORNIA ST
STOCKTON, CA 95202-1515
Phone number: 209-468-2385
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Mailing Address
-- KASHANTA SHANEA DARTEZ-SMITH
1653 E 6TH ST
STOCKTON, CA 95206-2305
Phone number: 209-401-4981
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