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1851820864
LATITIA RENEE MCDANIEL
MANSFIELD, LA
NPI
1851820864
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-06-05
Last Update Date
2017-06-05
Business Address
LATITIA RENEE MCDANIEL
809 POLK ST
MANSFIELD, LA 71052-2452
Phone number: 318-621-0910
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Mailing Address
LATITIA RENEE MCDANIEL
702 WOODMONT PL
SHREVEPORT, LA 71108-5727
Phone number: 318-780-5501
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