Individual
LATOYA TAMIKA LAGUERRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1017 FAYETTEVILLE RD SE STE B, ATLANTA, GA 30316-2932
(678) 829-4633
Mailing address
2002 SUMMIT BLVD STE 300, BROOKHAVEN, GA 30319-6422
(415) 424-4266
(415) 520-6633
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007924
GA
1041C0700X
Clinical Social Worker
LCSW217828
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003265593A
—
GA
Enumeration date
04/06/2022
Last updated
03/24/2023
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