Individual
MR. DORTCH LATON MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
2622 BEECHWOOD ST, GREENSBORO, NC 27403-2002
(336) 327-2505
Mailing address
2622 BEECHWOOD ST, GREENSBORO, NC 27403-2002
(336) 327-2505
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2401
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102037
—
NC
Enumeration date
10/24/2006
Last updated
07/08/2007
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