LATASHEANNE COCKHREN

PHOENIX, AZ
NPI1821663683
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date2021-05-24
Last Update Date2021-05-24
Business Address
LATASHEANNE COCKHREN
6449 S 16TH PL
PHOENIX, AZ 85042-4569
Phone number: 619-647-7568
Mailing Address
LATASHEANNE COCKHREN
2177 S MCQUEEN RD APT 3002
CHANDLER, AZ 85286-1849
Phone number: 619-647-7568
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