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1841595055
LATRISHA CLARK
DAVIS, CA
NPI
1841595055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2011-01-19
Last Update Date
2022-01-06
Business Address
MS. LATRISHA CLARK
212 I ST
DAVIS, CA 95616-4213
Phone number: 530-601-5959
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Mailing Address
MS. LATRISHA CLARK
8912 VOLUNTEER LN
SACRAMENTO, CA 95826-3221
Phone number: 916-344-0199
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