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1033610225
LATASHA YOUNGBLOOD
BRANDENBURG, KY
NPI
1033610225
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-02-23
Last Update Date
2018-02-23
Business Address
LATASHA YOUNGBLOOD
2025 BYPASS RD
BRANDENBURG, KY 40108-1605
Phone number: 270-422-3971
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Mailing Address
LATASHA YOUNGBLOOD
2025 BYPASS RD
BRANDENBURG, KY 40108-1605
Phone number:
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