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1619561032
TYSHAYE DOUGLAS
SAN DIEGO, CA
NPI
1619561032
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-02-25
Last Update Date
2021-03-03
Business Address
TYSHAYE DOUGLAS
1202 MORENA BLVD STE 100
SAN DIEGO, CA 92110-3842
Phone number: 619-275-0822
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Mailing Address
TYSHAYE DOUGLAS
1202 MORENA BLVD STE 300
SAN DIEGO, CA 92110-3844
Phone number:
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