LATASHIA N PETTIFORD

BALTIMORE, MD
NPI1306417142
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD  2967)
Enumeration Date2021-07-02
Last Update Date2021-07-02
Business Address
Miss LATASHIA N PETTIFORD CAC-AD
6207 BELAIR RD
BALTIMORE, MD 21206-1942
Phone number: 443-835-2681
Mailing Address
Miss LATASHIA N PETTIFORD CAC-AD
6900 EASTBROOK AVE
BALTIMORE, MD 21224-1839
Phone number: 443-226-0310