Individual
MR. TIMOTHY WADE LATIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW/MSSW
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2288
(608) 256-1901
(608) 280-7187
Mailing address
2500 OVERLOOK TER, MADISON, WI 53705-2288
(608) 256-1901
(608) 280-7187
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3466-123
WI
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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