Latesah Rosha Burks, LCSW

NPI #1700620960 in Madison, Mississippi

Provider Information

NPI Number
1700620960
Entity Type
Individual
Name
Latesah Rosha Burks, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Jun 22, 2024
Last Updated
Jun 22, 2024

Practice Location

Address
105 EXECUTIVE DR
ZIP Code
39110-8496
Phone
(601) 258-0818

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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