Individual
MS. LATONJA ANN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 HARDEE AVE SW, ATLANTA, GA 30310-5110
(404) 388-9316
Mailing address
300 ASHLEY PARK BLVD APT 225, NEWNAN, GA 30263-6392
(404) 388-9316
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW007884
GA
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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