Organization
LATECHIA HOGUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATECHIA COOKS (MSW/ SERVICE COORDINATOR)
(404) 781-7000
Entity
Organization
Contact information
Practice address
445 DIXIE LEE LN, STONE MOUNTAIN, GA 30083-4203
(404) 781-7000
Mailing address
3459 JACKSON DR, DECATUR, GA 30032-3035
(404) 761-7000
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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