Individual
ANTHONETTE LATOYA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4161 TAMIAMI TRL STE 401, PORT CHARLOTTE, FL 33952-9254
(239) 233-4684
Mailing address
4161 TAMIAMI TRL STE 401, PORT CHARLOTTE, FL 33952-9254
(239) 233-4684
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
15115
SC
1041C0700X
Clinical Social Worker
Primary
SW23134
FL
Other
Enumeration date
03/14/2024
Last updated
06/13/2024
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