LATARA A WILSON

GRANTS PASS, OR
NPI1912782137
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2023-08-28
Last Update Date2023-08-28
Business Address
LATARA A WILSON MA, CMHA
777 NE 7TH ST STE 205
GRANTS PASS, OR 97526-1632
Phone number: 541-507-6400
Mailing Address
LATARA A WILSON MA, CMHA
777 NE 7TH ST STE 205
GRANTS PASS, OR 97526-1632
Phone number: 541-507-6400