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1861067969
LAKISHA DOMINIQUE KENNEDY
LONG BEACH, CA
NPI
1861067969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-05-21
Last Update Date
2021-05-21
Business Address
LAKISHA DOMINIQUE KENNEDY
1775 CHESTNUT AVE
LONG BEACH, CA 90813-1674
Phone number: 562-599-8444
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Mailing Address
LAKISHA DOMINIQUE KENNEDY
1775 CHESTNUT AVE
LONG BEACH, CA 90813-1674
Phone number: 562-599-8444
Copy
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