Individual
SEAN WILLIAM LATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
951 NIAGARA ST, BUFFALO, NY 14213-2116
(716) 884-0700
Mailing address
951 NIAGARA ST, BUFFALO, NY 14213-2116
(716) 458-2062
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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