Individual
MRS. SHERAE THREATT LATTIMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5614 SAMUEL NEEL RD, CHARLOTTE, NC 28278
(704) 953-3207
Mailing address
5614 SAMUEL NEEL RD, CHARLOTTE, NC 28278
(704) 953-3207
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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