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Individual
JOHN LATHAM
Active
Individual
JOHN LATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6802073603
MI
1041C0700X
Clinical Social Worker
Primary
S.0027743
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6802073603
SOCIAL WORK LICENSE THROUGH MICHIGAN DEPARTMENT OF CONSUMER & INDUSTRY SERVICES
MI
Enumeration date
06/04/2019
Last updated
11/08/2023
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