Latriz Mimiko
Latriz Mimiko is a Mental Health Counselor in Bowie, Maryland. Practices as a sole proprietor. Licensed in Maryland.
- Licensed in
- MD
- In the registry since
- 2025
Practice location Address checks out
13302 10th StBowie, MD 20715-3703
Phone: (202) 378-0172
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 32840 (MD) |
|---|
Record details
| NPI number | 1972475937 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 19, 2025 |
| Last updated in NPPES | October 24, 2025 |
| Certification date | September 19, 2025 |
| Mailing address | 13302 10th St, Bowie, MD 20715-3703 |
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