Individual
LATONYA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3001 ALOMA AVE, WINTER PARK, FL 32792-3752
(321) 437-3715
(407) 567-7044
Mailing address
7228 CLARCONA OCOEE RD UNIT 124, CLARCONA, FL 32710-2001
(321) 437-3715
(407) 567-7011
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023801100
—
FL
Enumeration date
11/01/2018
Last updated
02/01/2022
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