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1417501693
LATANYA CORK
JACKSON, MS
NPI
1417501693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-07-26
Last Update Date
2019-07-26
Business Address
LATANYA CORK
860 E RIVER PL
JACKSON, MS 39202-3442
Phone number: 601-738-5260
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Mailing Address
LATANYA CORK
860 E RIVER PL
JACKSON, MS 39202-3442
Phone number: 601-738-5260
Copy
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