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1922786524
LATISHA MINER
PHOENIX, AZ
NPI
1922786524
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LAC-17841)
Enumeration Date
2023-07-05
Last Update Date
2023-07-05
Business Address
LATISHA MINER LAC
14040 N CAVE CREEK RD STE 205
PHOENIX, AZ 85022-6179
Phone number: 602-358-7073
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Mailing Address
LATISHA MINER LAC
6635 W HAPPY VALLEY RD STE A104-621
GLENDALE, AZ 85310-2609
Phone number: 602-358-7073
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