Individual
BRUCE M LATTIMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17 E GENESEE ST, AUBURN, NY 13021-4040
(315) 253-9795
Mailing address
30 GROVE AVE, AUBURN, NY 13021-4904
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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