Individual
MS. LARITA PATRICE DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5641 SAPPHIRE CIR, ELLENWOOD, GA 30294-3584
(912) 492-6828
Mailing address
5641 SAPPHIRE CIR, ELLENWOOD, GA 30294-3584
(912) 492-6828
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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