LATESCHA TANAE ALLEN

MORAINE, OH
NPI1508366709
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  100128)
Enumeration Date2018-02-15
Last Update Date2018-02-15
Business Address
LATESCHA TANAE ALLEN CDCA
200 DARUMA PKWY
MORAINE, OH 45439-7909
Phone number: 937-262-3502
Mailing Address
LATESCHA TANAE ALLEN CDCA
5521 LIBERTY BELL CIR
DAYTON, OH 45459-7925
Phone number: 937-301-9508
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