Individual
MRS. ANNIE LOUISE LATTUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. NCSP
Contact information
Practice address
3205 S RURAL RD, TEMPE, AZ 85282-3853
(480) 730-7100
Mailing address
400 W IRONWOOD DR, CHANDLER, AZ 85225-6649
(480) 272-7892
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4047832
AZ
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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