Latisha Wilson
NPI #1093550121 in Daingerfield, Texas
Provider Information
- NPI Number
- 1093550121
- Entity Type
- Individual
- Name
- Latisha Wilson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jun 29, 2024
- Last Updated
- Jun 29, 2024
Practice Location
- Address
- 1003 CARPENTER ST
- City
- Daingerfield
- State
- Texas
- ZIP Code
- 75638-2215
- Phone
- (903) 285-4332
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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Organizations
| Provider Name | |
|---|---|
| Texas Panhandle Mental Health Mental Retardation |
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