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1730691379
LATISHA LEE MANIORD
PARADISE, CA
NPI
1730691379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-11-03
Last Update Date
2017-11-03
Business Address
LATISHA LEE MANIORD
7204 SKYWAY
PARADISE, CA 95969-3280
Phone number: 530-877-1965
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Mailing Address
LATISHA LEE MANIORD
7204 SKYWAY
PARADISE, CA 95969-3280
Phone number: 530-877-1965
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