MISS Laticia M Georgie, LCSW

NPI #1407393275 in Canton, Illinois

Provider Information

NPI Number: 1407393275
Entity Type: Individual
Name: MISS Laticia M Georgie, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jan 31, 2017
Last Updated: Jan 31, 2017

Practice Location

Address: 229 MARTIN AVE
City: Canton
State: Illinois
ZIP Code: 61520-2520
Phone: (309) 647-1881

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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