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1386145779
LATASHA WILSON
BALTIMORE, MD
NPI
1386145779
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Former Name
LATASHA PENDERGRAFT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 20797)
Enumeration Date
2018-02-22
Last Update Date
2018-04-05
Business Address
LATASHA WILSON LCSW-C
4915 GILRAY DR
BALTIMORE, MD 21214-2136
Phone number: 443-629-5038
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Mailing Address
LATASHA WILSON LCSW-C
4915 GILRAY DR
BALTIMORE, MD 21214-2136
Phone number: 443-629-5038
Copy
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