Individual
LATANYA R FARRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5950 LIVE OAK PKWY STE 240, NORCROSS, GA 30093-1743
(770) 892-1637
Mailing address
4752 PEPPER TREE LN, DOUGLASVILLE, GA 30135-8421
(404) 772-9056
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/03/2019
Last updated
07/28/2020
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