Individual
MRS. LATONYA CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1226 ROYAL DR SW STE O, CONYERS, GA 30094-5926
(404) 408-3916
Mailing address
1226 ROYAL DR SW STE O, CONYERS, GA 30094-5926
(404) 408-3916
(770) 788-3281
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005984
GA
1041C0700X
Clinical Social Worker
MSW006552
GA
Other
Enumeration date
04/12/2016
Last updated
06/26/2019
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