Provider Demographics
NPI:1881747707
Name:RAYNOR, LATONYA (PLCSW)
Entity type:Individual
Prefix:
First Name:LATONYA
Middle Name:
Last Name:RAYNOR
Suffix:
Gender:F
Credentials:PLCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 BEAMAN ST
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:NC
Mailing Address - Zip Code:28328-2906
Mailing Address - Country:US
Mailing Address - Phone:910-596-2221
Mailing Address - Fax:
Practice Address - Street 1:214 BEAMAN ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NC
Practice Address - Zip Code:28328-2906
Practice Address - Country:US
Practice Address - Phone:910-596-2221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker