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1487832671
LATASHA MICHELLE ELLIS
STATESVILLE, NC
NPI
1487832671
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Former Name
LATASHA MICHELLE QUAILES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C005951)
Enumeration Date
2008-02-10
Last Update Date
2021-03-08
Business Address
Mrs. LATASHA MICHELLE ELLIS LCSW
766 HARTNESS RD
STATESVILLE, NC 28677-3425
Phone number: 704-380-3620
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Mailing Address
Mrs. LATASHA MICHELLE ELLIS LCSW
200 E 2ND AVE
GASTONIA, NC 28052-4358
Phone number: 704-874-1904
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