Individual
MICHELLE MARIE LATHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
1324 COMMERCE DR., DILLON, SC 29536
(843) 774-3351
Mailing address
P.O. BOX 918, 1035 CHERAN ST., BENNETTSVILLE, SC 29512
(843) 454-0841
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9750
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405127
—
SC
Enumeration date
03/03/2016
Last updated
03/03/2016
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