Individual
MRS. LATASHA WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
4534 ATTALA ROAD 4110, SALLIS, MS 39160-5783
(662) 739-3476
Mailing address
4534 ATTALA ROAD 4110, SALLIS, MS 39160-5783
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3518
MS
Other
Enumeration date
04/02/2013
Last updated
06/28/2013
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