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1780103689
TIKEREA LATREACE TATE
BURBANK, CA
NPI
1780103689
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 108765)
Enumeration Date
2017-09-12
Last Update Date
2024-07-31
Business Address
TIKEREA LATREACE TATE LCSW
191 S BUENA VISTA ST STE 300
BURBANK, CA 91505-4556
Phone number: 925-282-1778
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Mailing Address
TIKEREA LATREACE TATE LCSW
191 S BUENA VISTA ST STE 300
BURBANK, CA 91505-4556
Phone number:
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