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1538803523
DAMISHA ANTONIA LASTER
MADISON, TN
NPI
1538803523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-04-25
Last Update Date
2022-04-25
Business Address
Mrs. DAMISHA ANTONIA LASTER
1504 TRADITION CT
MADISON, TN 37115-5934
Phone number: 615-596-0564
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Mailing Address
Mrs. DAMISHA ANTONIA LASTER
1504 TRADITION CT
MADISON, TN 37115-5934
Phone number: 615-596-0564
Copy
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