Individual
MS. LATESHA TANISE MCINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1955 POPPS FERRY RD APT 1127BB, BILOXI, MS 39532-2031
(228) 313-6072
Mailing address
1955 POPPS FERRY RD APT 1127BB, BILOXI, MS 39532-2031
(228) 313-6072
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7553
MS
Other
Enumeration date
03/15/2013
Last updated
11/21/2019
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