Individual
LATOYA JENELLE EVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
919 E 2ND ST, SANFORD, FL 32771-2101
(407) 323-2036
(407) 324-0716
Mailing address
919 E 2ND ST, SANFORD, FL 32771-2101
(407) 323-2036
(407) 324-0716
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164581633
—
FL
Enumeration date
05/31/2013
Last updated
05/31/2013
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