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Latisha Nicole Davis

Counselor in Gainesville, FL. Individual provider (NPI-1).

NPI number1457792467
StatusActive
Last updated in NPPESJul 8, 2013

Details

NPI
1457792467
Entity type
Individual (NPI-1)
Name
Ms. Latisha Nicole Davis
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 8, 2013
Last updated
Jul 8, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes

Practice location

610 Sw 10th Ln Apt D
Gainesville, FL 32601-2806

Phone 772-332-7405

Mailing address

610 Sw 10th Ln Apt D
Gainesville, FL 32601-2806

Phone 772-332-7405

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