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1932714318
LATISHA CLARK
INDIANAPOLIS, IN
NPI
1932714318
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251C00000X Day Training, Developmentally Disabled Services
Enumeration Date
2020-09-11
Last Update Date
2022-06-30
Business Address
LATISHA CLARK
8109 BLACKGUM CT
INDIANAPOLIS, IN 46236-8260
Phone number: 317-658-5177
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Mailing Address
LATISHA CLARK
8109 BLACKGUM CT
INDIANAPOLIS, IN 46236-8260
Phone number: 317-658-5177
Copy
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