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Individual

LATASHA GHOLAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
171W00000X
Contractor
374U00000X
Home Health Aide
MS
376J00000X
Homemaker
376K00000X
Nurse's Aide
385HR2055X
Child Mental Illness Respite Care
385HR2065X
Child Physical Disabilities Respite Care
Primary

Other

Enumeration date
09/19/2023
Last updated
09/19/2023
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