Individual
LATASHA ANN NEWTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSP
Contact information
Practice address
1150 GRAHAM RD, FLORISSANT, MO 63031-8077
(314) 206-3900
Mailing address
1430 OLIVE ST, SAINT LOUIS, MO 63103-2360
(314) 206-3700
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MO
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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