Individual
LATESSA L ROBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3645 MARKETPLACE BLVD # 130-198, ATLANTA, GA 30344-5747
(402) 517-0289
Mailing address
3645 MARKETPLACE BLVD, #130-198, ATLANTA, GA 30344-5747
(402) 517-0289
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
56311
TX
1041C0700X
Clinical Social Worker
Primary
CSW005885
GA
Other
Enumeration date
06/07/2016
Last updated
07/21/2022
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