Individual
LATIYA OSHODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1050 CROWN POINTE PKWY, STE 450, ATLANTA, GA 30338-7707
(866) 325-5434
(866) 325-5340
Mailing address
119 AUTUMN CREEK DR, DALLAS, GA 30157-7186
(678) 542-7690
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003379
GA
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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