Individual
LATOSHA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
710 E 47TH ST STE 203W, CHICAGO, IL 60653-0120
(773) 828-4940
Mailing address
710 E 47TH ST STE 203W, CHICAGO, IL 60653-0120
(773) 828-4940
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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