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Individual
LATISHA ROSE MUCKER
Active
Individual
LATISHA ROSE MUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEER RECOVERY COACH
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
03/15/2018
Last updated
06/19/2026
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