Individual
MS. LATEEFA ZAWI SHABAZZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 COUNTRY CLUB RD APT 706, JACKSONVILLE, NC 28546-7309
(317) 469-3582
Mailing address
445 WESTERN BLVD STE Q, JACKSONVILLE, NC 28546-6852
(910) 858-5848
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P017523
NC
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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