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LATEISHA RENEE ADEOLA

>> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1215547096

Individual Registrant:
 LATEISHA RENEE ADEOLA 
Gender: F
Sole Proprietor

Location and contact information for practice:
512 22ND AVE  PHENIX CITY, AL 36869-6502 US
Tel: 706-587-3357  Fax: --

Contact information for business:
512 22ND AVE  PHENIX CITY, AL 36869-6502 US
Tel: 706-587-3357  Fax: --

Registration Information:
NPI: 1215547096
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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