Individual
JANEEN J LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
1085 MAPLE ST, FARMINGTON, MO 63640-1955
(573) 747-2431
Mailing address
1085 MAPLE ST, FARMINGTON, MO 63640-1955
(573) 747-2431
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/24/2009
Last updated
03/09/2009
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