Individual
COURTNEY LATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2909 BRYANT AVE S STE 204, MINNEAPOLIS, MN 55408-4966
(507) 421-0180
Mailing address
2909 BRYANT AVE S STE 204, MINNEAPOLIS, MN 55408-4966
(507) 421-0180
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
MN
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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