Individual
MRS. D'NETRA LATRICE YOUNG-LAWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
224 MAIN ST, JEFFERSONVILLE, GA 31044-3642
(478) 957-6283
Mailing address
224 MAIN ST, JEFFERSONVILLE, GA 31044-3642
(478) 957-6283
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MSW007080
GA
1041C0700X
Clinical Social Worker
Primary
CSW007457
GA
Other
Enumeration date
01/15/2019
Last updated
01/29/2021
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