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1912782137
LATARA A WILSON
GRANTS PASS, OR
NPI
1912782137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-08-28
Last Update Date
2023-08-28
Business Address
LATARA A WILSON MA, CMHA
777 NE 7TH ST STE 205
GRANTS PASS, OR 97526-1632
Phone number: 541-507-6400
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Mailing Address
LATARA A WILSON MA, CMHA
777 NE 7TH ST STE 205
GRANTS PASS, OR 97526-1632
Phone number: 541-507-6400
Copy
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