Individual
AIMEE LATAILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1400 CENTRE ST, SUITE 203, NEWTON CENTRE, MA 02459-2454
(617) 244-9929
Mailing address
1400 CENTRE ST, SUITE 203, NEWTON CENTRE, MA 02459-2454
(617) 244-9929
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
116379
MA
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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