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Individual
BONNIE LATHAM-LYON
Active
Individual
BONNIE LATHAM-LYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
524
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14Y001664NH02
BHN (ANTHEM)
NH
05
—
30423176
—
NH
Enumeration date
11/21/2006
Last updated
07/09/2007
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