Individual
MRS. LATISHA JONES WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
977 TAYLOR ST SW # A, CONYERS, GA 30012-5357
(770) 918-6677
(770) 918-6686
Mailing address
30 GOLDFINCH DR, COVINGTON, GA 30016-9057
(678) 625-4331
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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