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1083011381
LATISHA MALONE
EUGENE, OR
NPI
1083011381
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-12-02
Last Update Date
2014-12-02
Business Address
-- LATISHA MALONE
499 W 4TH AVE
EUGENE, OR 97401-2505
Phone number: 541-686-1262
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Mailing Address
-- LATISHA MALONE
499 W 4TH AVE
EUGENE, OR 97401-2505
Phone number: 541-686-1262
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