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Individual
MRS. SHERRY ANN LATHAM
Active
Individual
MRS. SHERRY ANN LATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
01266
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026240401
—
TX
01
—
278850000
MAGELLAN HEALTH
TX
01
—
4190LC
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/22/2006
Last updated
09/15/2008
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