Individual
LATOYA S ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1307 W MAIN ST, MARION, IL 62959-1139
(618) 997-5336
(618) 993-2969
Mailing address
902 W MAIN ST, WEST FRANKFORT, IL 62896-2210
(618) 937-6483
(618) 937-1440
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.110673
IL
1041C0700X
Clinical Social Worker
CSW03639
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018209
—
MS
Enumeration date
07/09/2018
Last updated
12/03/2024
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