Individual
CICERO LATIMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
940 GA HIGHWAY 96, WARNER ROBINS, GA 31088-2584
(478) 988-1222
(478) 988-1106
Mailing address
940 HIGHWAY 96, WARNER ROBINS, GA 31093
(478) 988-1222
(478) 988-1106
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002912
GA
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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