Individual
MRS. LATISHA DALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
11 CIRCLE AVE, LYNN, MA 01905-3050
(617) 285-6563
Mailing address
11 CIRCLE AVE, LYNN, MA 01905-3050
(617) 285-6563
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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