Individual
LATASHA PRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 MERCHANTS DR, DALLAS, GA 30132-3006
(470) 927-7561
Mailing address
1001 MERCHANTS DR, DALLAS, GA 30132-3006
(470) 927-7561
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TF0000X
Family Psychologist
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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