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1063980217
LATISHA Y BORDLEY
DELAND, FL
NPI
1063980217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2018-11-06
Last Update Date
2018-11-06
Business Address
LATISHA Y BORDLEY
119 E VILLA CAPRI CIR APT F
DELAND, FL 32724-7873
Phone number: 302-331-1450
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Mailing Address
LATISHA Y BORDLEY
119 E VILLA CAPRI CIR APT F
DELAND, FL 32724-7873
Phone number: 302-331-1450
Copy
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