Individual
JILL A LATORE
Active
Individual
JILL A LATORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW126944
PA
1041C0700X
Clinical Social Worker
Primary
CW017361
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477845410
HIGHMARK BLUE SHIELD
PA
01
—
251830792
UNITED BEHAVIORAL HEALTH
PA
01
—
600773304
MAGELLAN HEALTH SERVICES
PA
Enumeration date
05/10/2011
Last updated
08/07/2012
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