Individual
TRENT LATHAM HOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
902 NORTH 8TH WEST STREET, RIVERTON, WY 82520-0156
(307) 857-3111
(307) 857-3848
Mailing address
902 NORTH 8TH WEST STREET, PO BOX 1234, RIVERTON, WY 82520-0156
(307) 857-3111
(307) 857-3848
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
786
WY
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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