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1184340135
LATASHA PEAVY
COLUMBIA, MS
NPI
1184340135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
373H00000X Day Training/Habilitation Specialist
Enumeration Date
2022-10-12
Last Update Date
2022-10-12
Business Address
LATASHA PEAVY IDD WAIVER SERVICES
1104 BROAD ST
COLUMBIA, MS 39429-3112
Phone number: 601-736-0996
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Mailing Address
LATASHA PEAVY IDD WAIVER SERVICES
PO BOX 18679
HATTIESBURG, MS 39404-8679
Phone number: 601-705-1901
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