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Individual

MS. LATOYA NICOLE PERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
1917 RED QUARTZ DR, RALEIGH, NC 27610-5637
(919) 771-8892
Mailing address
1917 RED QUARTZ DR, RALEIGH, NC 27610-5637
(919) 771-8892

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
06/16/2009
Last updated
06/16/2009
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