Individual
LATEISHA RENEE ADEOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
512 22ND AVE, PHENIX CITY, AL 36869-6502
(706) 587-3357
Mailing address
512 22ND AVE, PHENIX CITY, AL 36869-6502
(706) 587-3357
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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