Individual
DONTAE LATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
501 BILLINGSLEY RD, BEHAVIORAL HEALTH CENTER CMC RANDOLPH, CHARLOTTE, NC 28211-1009
(704) 358-2700
(704) 358-2716
Mailing address
501 BILLINGSLEY RD, BEHAVIORAL HEALTH CENTER CMC RANDOLPH, CHARLOTTE, NC 28211-1009
(704) 358-2700
(704) 358-2938
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C004158
NC
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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