LATASHA MICHELLE ELLIS

STATESVILLE, NC
NPI1487832671
Former NameLATASHA MICHELLE QUAILES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NC  C005951)
Enumeration Date2008-02-10
Last Update Date2021-03-08
Business Address
Mrs. LATASHA MICHELLE ELLIS LCSW
766 HARTNESS RD
STATESVILLE, NC 28677-3425
Phone number: 704-380-3620
Mailing Address
Mrs. LATASHA MICHELLE ELLIS LCSW
200 E 2ND AVE
GASTONIA, NC 28052-4358
Phone number: 704-874-1904