Individual
LATASHA DAVIS-HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
175 PROSPECT ST APT 4J, EAST ORANGE, NJ 07017-2616
(201) 563-1064
Mailing address
175 PROSPECT ST APT 4J, EAST ORANGE, NJ 07017-2616
(201) 563-1064
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37FI001913
NJ
Other
Enumeration date
10/21/2019
Last updated
02/01/2021
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