Provider Demographics
NPI:1033429907
Name:MORRISON, LATASHA ANTOINETTE (MSW)
Entity Type:Individual
Prefix:
First Name:LATASHA
Middle Name:ANTOINETTE
Last Name:MORRISON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:LATASHA
Other - Middle Name:ANTOINETTE
Other - Last Name:MORRISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6658 E CALLE ALEGRIA UNIT B
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-4004
Mailing Address - Country:US
Mailing Address - Phone:520-271-0883
Mailing Address - Fax:
Practice Address - Street 1:350 N WILMOT RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-2602
Practice Address - Country:US
Practice Address - Phone:520-873-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-13
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker