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1851716484
LETRELL V DAVIS
FAIRFIELD, CA
NPI
1851716484
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor Mental Health
Enumeration Date
2014-02-18
Last Update Date
2022-02-01
Business Address
MS. LETRELL V DAVIS
2420 MARTIN RD STE 200
FAIRFIELD, CA 94534-8610
Phone number: 707-399-4520
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Mailing Address
MS. LETRELL V DAVIS
2420 MARTIN RD STE 200
FAIRFIELD, CA 94534-8610
Phone number: 707-399-4520
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