LATISHA S. FREDERICK

PHILLIPSBURG, NJ
NPI1205326758
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-05-10
Last Update Date2018-05-10
Business Address
Mrs. LATISHA S. FREDERICK
590 MARSHALL ST
PHILLIPSBURG, NJ 08865-2629
Phone number: 908-387-0003
Mailing Address
Mrs. LATISHA S. FREDERICK
1037 W TILGHMAN ST
ALLENTOWN, PA 18102-2226
Phone number: 929-225-9488
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