Individual
MRS. LATASHA REED DULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1524 WOODGATE WAY, TALLAHASSEE, FL 32308-0536
(850) 251-1454
(850) 487-0045
Mailing address
1524 WOODGATE WAY, TALLAHASSEE, FL 32308-0536
(850) 251-1454
(850) 487-0045
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
FL
Other
Enumeration date
05/07/2007
Last updated
07/09/2007
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