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Individual

CONSTANCE LEE LATHROP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1515 S OREGON ST, SUITE A, YREKA, CA 96097-3475
(530) 842-3455
Mailing address
4915 HOVEY GULCH, MONTAGUE, CA 96064
(530) 459-5058

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
10/01/2008
Last updated
10/01/2008
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