Individual
MRS. LATASHA M GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
918 BERGEN ST APT 2, NEWARK, NJ 07112-2655
(646) 621-1195
Mailing address
514 FRELINGHUYSEN AVE UNIT 4310, NEWARK, NJ 07112-7013
(646) 621-1195
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05881400
NJ
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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