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1619003258
LATISHA FUNMILOLA IBIRONKE
BERKELEY, CA
NPI
1619003258
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 46518)
Enumeration Date
2007-02-26
Last Update Date
2018-01-25
Business Address
LATISHA FUNMILOLA IBIRONKE
1820 SCENIC AVE
BERKELEY, CA 94709-1324
Phone number: 510-548-7270
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Mailing Address
LATISHA FUNMILOLA IBIRONKE
2323 HEARST AVE
BERKELEY, CA 94709-1319
Phone number: 510-526-6200
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