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
State
Texas
ZIP Code
75638-2215
Phone
(903) 285-4332

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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