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1710599410
LATISHA CRICK
AUGUSTA, GA
NPI
1710599410
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-08-24
Last Update Date
2020-08-24
Business Address
LATISHA CRICK
2357 TOBACCO RD
AUGUSTA, GA 30906-9220
Phone number: 706-722-3855
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Mailing Address
LATISHA CRICK
2357 TOBACCO RD
AUGUSTA, GA 30906-9220
Phone number: 706-722-3855
Copy
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