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Individual

MISS LATONJYA WORTHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS

Contact information

Practice address
411 PICASSO CIR, SACRAMENTO, CA 95835-2649
(916) 526-0777
Mailing address
411 PICASSO CIR, SACRAMENTO, CA 95835-2649
(510) 593-5920

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
163WC0400X
Case Management Registered Nurse
Primary
95043260
CA

Other

Enumeration date
01/26/2007
Last updated
03/28/2024
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