Individual
LATICIA WESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
722 JANEY DR, FARMINGTON, MO 63640-9209
(573) 275-8028
Mailing address
722 JANEY DR, FARMINGTON, MO 63640-9209
(573) 275-8028
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2014025368
MO
Other
Enumeration date
02/21/2015
Last updated
12/12/2019
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