Individual
SONYA LATRELLE OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
758 GA HIGHWAY 56 N, WAYNESBORO, GA 30830-2805
(706) 799-5879
Mailing address
758 GA HIGHWAY 56 N, WAYNESBORO, GA 30830-2805
(706) 799-5879
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/29/2018
Last updated
12/29/2018
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