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1952790875
LATRICE YVETTE WOODRUFF
STOCKTON, CA
NPI
1952790875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-01-15
Last Update Date
2021-03-05
Business Address
Mrs. LATRICE YVETTE WOODRUFF
445 W WEBER AVE SUITE 30
STOCKTON, CA 95203-3151
Phone number: 209-451-3628
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Mailing Address
Mrs. LATRICE YVETTE WOODRUFF
750 SPAANS DR STE CDF
GALT, CA 95632-8609
Phone number: 209-451-3628
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