Individual
LATOYA DENISE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1950 PEARSON ST, LOGANVILLE, GA 30052-6517
(912) 245-6619
Mailing address
1950 PEARSON ST, LOGANVILLE, GA 30052-6517
(912) 245-6619
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW008481
GA
Other
Enumeration date
10/22/2020
Last updated
03/03/2023
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