Individual
LATASHA MARIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW,TCADC
Contact information
Practice address
1949 GOLDSMITH LN STE 103, LOUISVILLE, KY 40218-3096
(502) 509-7207
(502) 785-4003
Mailing address
1604 RUSSELL LEE DR, LOUISVILLE, KY 40211-4304
(502) 876-1445
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
253948
KY
Other
Enumeration date
11/13/2018
Last updated
07/11/2019
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