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Organization
MARGARET ANGELYN BUSH LATTA, LCSW
Active
Organization
MARGARET ANGELYN BUSH LATTA, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET ANGELYN LATTA LCSW (INDEPENDENT CONTRACTOR)
(601) 209-6638
Entity
Organization
Contact information
Practice address
7390 NW 5TH ST, SUITE 5, PLANTATION, FL 33317-1610
(601) 209-6638
(954) 583-9575
Mailing address
10150 NW 10TH ST, PLANTATION, FL 33322-6526
(954) 474-8757
(954) 474-8757
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S8760
FL
Other
Enumeration date
03/08/2013
Last updated
03/08/2013
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