Provider Information for 1972321677
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JA'MEKA LATA CAFFIE LPC
Sex: Female
NPI: 1972321677
Last Updated: 2024-10-01
Certification Date: 2024-10-01
Certification Date: 2024-10-01
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1972321677 | ||||||||
| Enumeration Date | 2024-10-01 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 539 COUNTY ROAD 6629 BANKS, AL 36005-3003 United States Phone: 334-461-9276 | Fax: | ||||||||
| Primary Practice Address | 539 COUNTY ROAD 6629 BANKS, AL 36005-3003 United States Phone: 334-461-9276 | Fax: | ||||||||
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