Individual
ALLISON LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6812 ST. PL., OKLAHOMA CITY, OK 73132
(405) 412-2875
Mailing address
6812 SAINT MARYS PL, OKLAHOMA CITY, OK 73132-6819
(405) 412-2875
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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