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1619218625
LATESHA TANISE MCINNIS
BILOXI, MS
NPI
1619218625
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MS C7553)
Enumeration Date
2013-03-15
Last Update Date
2019-11-21
Business Address
Ms. LATESHA TANISE MCINNIS LCSW
1955 POPPS FERRY RD APT 1127BB
BILOXI, MS 39532-2031
Phone number: 228-313-6072
Copy
Mailing Address
Ms. LATESHA TANISE MCINNIS LCSW
1955 POPPS FERRY RD APT 1127BB
BILOXI, MS 39532-2031
Phone number: 228-313-6072
Copy
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