LATASHA NICOLE BERRY

PONCA CITY, OK
NPI1932870821
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-09-22
Last Update Date2021-09-22
Business Address
LATASHA NICOLE BERRY
827 E HUBBARD RD
PONCA CITY, OK 74601-1073
Phone number: 620-446-2454
Mailing Address
LATASHA NICOLE BERRY
827 E HUBBARD RD
PONCA CITY, OK 74601-1073
Phone number: 620-446-2454
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