Individual
LATAUNIA SUSETTE PITTS WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 E GALBRAITH RD, CINCINNATI, OH 45216-1353
(513) 948-0023
Mailing address
203 E GALBRAITH RD, CINCINNATI, OH 45216-1353
(513) 948-0023
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.1901599-TRNE
OH
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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