Individual
ALLEN LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 W BOND AVE, WEST MEMPHIS, AR 72301-3907
(870) 520-5014
Mailing address
PO BOX 11064, FAYETTEVILLE, AR 72703-1001
(870) 520-5014
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/20/2015
Last updated
10/16/2024
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