Individual
LATONYA L AGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NC FBPPC
Contact information
Practice address
713 RUSHING FALLS PL, FUQUAY VARINA, NC 27526-6975
(919) 500-7623
Mailing address
713 RUSHING FALLS PL, FUQUAY VARINA, NC 27526-6975
(919) 500-7623
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
117
NC
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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