Individual
MS. LATOYA LENAE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(770) 339-2395
(678) 990-3997
Mailing address
17 VILLA CT SE, SMYRNA, GA 30080-4570
(404) 387-9161
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CSW005795
GA
Other
Enumeration date
05/30/2012
Last updated
02/19/2021
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