| NPI | 1689988974 |
|---|---|
| Former Name | CORETTA LAVETTE JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW008522) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801091282) |
| 1041C0700X Social Worker, Clinical (Licence: TX 64649) | |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2024-10-21 |