Individual
LATRICE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 DUG GAP RD, DALTON, GA 30720-5007
(706) 279-0405
Mailing address
PO BOX 276, QUITMAN, MS 39355-0276
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC011004
GA
Other
Enumeration date
04/24/2020
Last updated
03/23/2021
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