Individual
MS. LONNA LATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
307 4TH AVE, PITTSBURGH, PA 15222-2108
(412) 471-8722
Mailing address
307 4TH AVE, PITTSBURGH, PA 15222-2108
(412) 471-8722
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SW130149
PA
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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