Individual
LATROY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SOCIAL WORKER
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 873-6767
Mailing address
2110 BANDERA DR, CLARKSVILLE, TN 37042-1494
(915) 256-7858
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW010645
GA
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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