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LATISHA MOORE, BS

BS

Case Management Agency

NPI: 1992860670Individual

Specialties, Licenses & Credentials

Mental Health Counselor

Counselor — Mental Health

Code: 101YM0800X

Case Manager/Care Coordinator

Case Manager/Care Coordinator

Code: 171M00000X

Case Management AgencyPrimary

Case Management

Code: 251B00000X

Intellectual and/or Developmental Disabilities Residential Treatment Facility

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Code: 320600000X

MHL-007-062(NC)
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Contact & Hours

Address
139 W 3RD STREET
WASHINGTON, NC 27889

Quick Facts

NPI
1992860670
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
4
Locations
1

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