Individual
LORITA B WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
77 COLE ST NE, MARIETTA, GA 30060-2030
(770) 426-6460
(770) 919-1456
Mailing address
PO BOX 3175, MARIETTA, GA 30061-3175
(770) 426-6460
(770) 919-1456
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001106
GA
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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