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1861044703
LATASHA HEINZEN
DECATUR, AL
NPI
1861044703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AL 3132)
Enumeration Date
2019-07-11
Last Update Date
2019-07-25
Business Address
LATASHA HEINZEN
2042 BELTLINE RD SUITE 120A
DECATUR, AL 35602
Phone number: 915-373-1451
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Mailing Address
LATASHA HEINZEN
400 WELL ST NE
DECATUR, AL 35602-2201
Phone number: 915-373-1451
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