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1619714102
LATIFAH A MINTO
SPRINGFIELD, MA
NPI
1619714102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-07-11
Last Update Date
2024-07-11
Business Address
LATIFAH A MINTO
511 E COLUMBUS AVE
SPRINGFIELD, MA 01105-2506
Phone number: 413-733-3488
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Mailing Address
LATIFAH A MINTO
511 E COLUMBUS AVE
SPRINGFIELD, MA 01105-2506
Phone number: 413-733-3488
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