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1811469810
LATISHA NICHOLE WATERS
SNOW HILL, MD
NPI
1811469810
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Former Name
LATISHA NICHOLE MILBOURNE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-01-02
Last Update Date
2020-12-17
Business Address
LATISHA NICHOLE WATERS LGPC, LGADC
6040 PUBLIC LANDING RD
SNOW HILL, MD 21863-2453
Phone number: 410-632-1100
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Mailing Address
LATISHA NICHOLE WATERS LGPC, LGADC
6040 PUBLIC LANDING RD
SNOW HILL, MD 21863-2453
Phone number: 410-632-1100
Copy
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