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1013770544
LATISHA DIMETRIA THOMPSON
PHILADELPHIA, PA
NPI
1013770544
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: PA SW137326)
Enumeration Date
2024-02-06
Last Update Date
2024-02-06
Business Address
LATISHA DIMETRIA THOMPSON
3900 WOODLAND AVE
PHILADELPHIA, PA 19104-4551
Phone number: 215-823-5800
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Mailing Address
LATISHA DIMETRIA THOMPSON
6025 N MARVINE ST
PHILADELPHIA, PA 19141-3207
Phone number:
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