Individual
MR. ERRON DAJUAN LATIMORE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
142 E AMBOISE CT, SANDY, UT 84070-1357
(301) 801-7006
Mailing address
142 E AMBOISE CT, SANDY, UT 84070-1357
(301) 801-7006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC12326
MD
Other
Enumeration date
04/01/2019
Last updated
01/16/2024
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