LATEASHA NICOLE

MOUNT PLEASANT, WI
NPI1013617265
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  16574)
Enumeration Date2023-03-07
Last Update Date2023-03-07
Business Address
LATEASHA NICOLE SAC
5735 DURAND AVE
MOUNT PLEASANT, WI 53406-5011
Phone number: 262-598-1392
Mailing Address
LATEASHA NICOLE SAC
5735 DURAND AVE
MOUNT PLEASANT, WI 53406-5011
Phone number: 262-598-1392
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