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1770028110
TYISHA MERRITT
CONCORD, CA
NPI
1770028110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-12-20
Last Update Date
2023-05-12
Business Address
TYISHA MERRITT
1034 OAK GROVE RD
CONCORD, CA 94518-3225
Phone number: 925-681-4450
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Mailing Address
TYISHA MERRITT
1034 OAK GROVE RD
CONCORD, CA 94518-3225
Phone number: 925-681-4450
Copy
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