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1700620960
LATESAH ROSHA BURKS
MADISON, MS
NPI
1700620960
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MS C11093)
Enumeration Date
2024-06-22
Last Update Date
2024-06-22
Business Address
LATESAH ROSHA BURKS LCSW
105 EXECUTIVE DR
MADISON, MS 39110-8496
Phone number: 601-258-0818
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Mailing Address
LATESAH ROSHA BURKS LCSW
205 TRAVIS CV
FLORA, MS 39071-8908
Phone number: 601-258-0818
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