Individual
MR. CHARLES J LATORRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1325 ANGELS PATH, DE PERE, WI 54115-4050
(920) 338-2855
(920) 338-9270
Mailing address
PO BOX 22040, GREEN BAY, WI 54305-2040
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6831-123
WI
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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