LATASHA AGE

WHITE HALL, AR
NPI1932485075
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2011-11-02
Last Update Date2011-11-02
Business Address
-- LATASHA AGE MHPP
7500 DOLLARWAY RD STE 105
WHITE HALL, AR 71602-3082
Phone number: 870-247-2305
Mailing Address
-- LATASHA AGE MHPP
7500 DOLLARWAY RD STE 105
WHITE HALL, AR 71602-3082
Phone number: 870-247-2305
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