SHANTRAILLE LATASHA LEFORT

SACRAMENTO, CA
NPI1669787388
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2010-08-18
Last Update Date2010-08-18
Business Address
Ms. SHANTRAILLE LATASHA LEFORT
4441 AUBURN BLVD STE E
SACRAMENTO, CA 95841-4139
Phone number: 916-473-5764
Mailing Address
Ms. SHANTRAILLE LATASHA LEFORT
4441 AUBURN BLVD SUITE E
SACRAMENTO, CA 95841
Phone number: 916-473-5764
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