LATISHA Y BORDLEY

DELAND, FL
NPI1063980217
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-11-06
Last Update Date2018-11-06
Business Address
LATISHA Y BORDLEY
119 E VILLA CAPRI CIR APT F
DELAND, FL 32724-7873
Phone number: 302-331-1450
Mailing Address
LATISHA Y BORDLEY
119 E VILLA CAPRI CIR APT F
DELAND, FL 32724-7873
Phone number: 302-331-1450
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