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Individual

LATISHA TAVAUGHNA MCGRAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS OTR-L

Contact information

Practice address
200 E NORTH AVENUE, BALTIMORE CITY PUBLIC SCHOOLS, BALTIMORE, MD 21202
(202) 531-1203
Mailing address
3160 FREESTONE CT, ABINGDON, MD 21009-3090
(410) 569-6550

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
05252
MD

Other

Enumeration date
07/09/2008
Last updated
07/09/2008
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