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1043787559
LATASHA MARIE FORTEAU
PHILADELPHIA, PA
NPI
1043787559
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: PA CW021875)
Enumeration Date
2018-11-01
Last Update Date
2023-05-23
Business Address
LATASHA MARIE FORTEAU LCSW
7047 GERMANTOWN AVENUE SUITE 201
PHILADELPHIA, PA 19119
Phone number: 484-430-4738
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Mailing Address
LATASHA MARIE FORTEAU LCSW
7047 GERMANTOWN AVE STE 201
PHILADELPHIA, PA 19119-1866
Phone number: 484-430-4738
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