LATISHA JACKSON

FLORENCE, SC
NPI1831313170
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-04-11
Last Update Date2007-07-08
Business Address
-- LATISHA JACKSON
125 E CHEVES ST
FLORENCE, SC 29506-2526
Phone number: 843-317-4089
Mailing Address
-- LATISHA JACKSON
125 E CHEVES ST
FLORENCE, SC 29506-2526
Phone number: 843-317-4089
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