LATRIZ MIMIKO

BOWIE, MD
NPI1972475937
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MD  32840)
Enumeration Date2025-09-19
Last Update Date2025-10-24
Business Address
LATRIZ MIMIKO
13302 10TH ST
BOWIE, MD 20715-3703
Phone number: 202-378-0172
Mailing Address
LATRIZ MIMIKO
13302 10TH ST
BOWIE, MD 20715-3703
Phone number:
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