LATONIA CLARK

LEAVENWORTH, KS
NPI1316582935
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS  844)
Enumeration Date2019-11-07
Last Update Date2019-11-07
Business Address
LATONIA CLARK
500 LIMIT ST
LEAVENWORTH, KS 66048-4435
Phone number: 913-682-5118
Mailing Address
LATONIA CLARK
500 LIMIT ST
LEAVENWORTH, KS 66048-4435
Phone number: 913-682-5118
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