LATASHA WILSON

BALTIMORE, MD
NPI1386145779
Former NameLATASHA PENDERGRAFT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MD  20797)
Enumeration Date2018-02-22
Last Update Date2018-04-05
Business Address
LATASHA WILSON LCSW-C
4915 GILRAY DR
BALTIMORE, MD 21214-2136
Phone number: 443-629-5038
Mailing Address
LATASHA WILSON LCSW-C
4915 GILRAY DR
BALTIMORE, MD 21214-2136
Phone number: 443-629-5038