Individual
LATECIA AMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2201 BAYTREE RD APT 522, VALDOSTA, GA 31602-3580
(478) 221-4885
Mailing address
2201 BAYTREE RD APT 522, VALDOSTA, GA 31602-3580
(478) 221-4885
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
—
—
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/31/2025
Last updated
06/26/2025
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