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1043639172
LATASHA MALONE
WILMINGTON, DE
NPI
1043639172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NJ 37LC00163600)
Enumeration Date
2014-04-16
Last Update Date
2014-04-16
Business Address
-- LATASHA MALONE
2713 LANCASTER AVE
WILMINGTON, DE 19805-5220
Phone number: 302-656-2348
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Mailing Address
-- LATASHA MALONE
2713 LANCASTER AVE
WILMINGTON, DE 19805-5220
Phone number: 302-656-2348
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