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Individual
LATRINA WALLACE
Active
Individual
LATRINA WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
174H00000X
Health Educator
—
—
225C00000X
Rehabilitation Counselor
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
04/13/2019
Last updated
10/01/2025
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