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1295355733
LATRICE DANIELS
DALTON, GA
NPI
1295355733
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Former Name
LATRICE MYERS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: GA LPC011004)
Enumeration Date
2020-04-24
Last Update Date
2021-03-23
Business Address
LATRICE DANIELS
1414 DUG GAP RD
DALTON, GA 30720-5007
Phone number: 706-279-0405
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Mailing Address
LATRICE DANIELS
PO BOX 276
QUITMAN, MS 39355-0276
Phone number:
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