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Individual

LATANJA RENEE BATEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
415 N JACKSON ST, AMERICUS, GA 31709-3015
(229) 931-6988
Mailing address
415 N JACKSON ST, AMERICUS, GA 31709-3015
(229) 815-6445

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
582111079
GA
Enumeration date
12/03/2019
Last updated
12/03/2019
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