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Individual
LATONIA MINDINGALL
Active
Individual
LATONIA MINDINGALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802064617
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6802064617
STATE OF MICHIGAN LICENSING REGULATORY AFFAIRS
MI
Enumeration date
12/12/2013
Last updated
12/12/2013
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