Individual
MS. LATRELL DEMETRIA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1206 GRAYDON ST, SAVANNAH, GA 31404-2020
(912) 695-4208
Mailing address
1206 GRAYDON ST, SAVANNAH, GA 31404-2020
(912) 695-4208
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
GA
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
—
—
347C00000X
Private Vehicle
—
GA
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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