Individual
MRS. LATONYA LYNN PACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
4024 ARDENWOODS DR, FAYETTEVILLE, NC 28306-9310
(910) 658-9630
Mailing address
4024 ARDENWOODS DR, FAYETTEVILLE, NC 28306-9310
(910) 658-9630
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3219-A
NC
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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