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Individual

SUSAN MARIE LATHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1107 LONG CT, STERLING, IL 61081-1525
(309) 281-9584
Mailing address
1107 LONG CT, STERLING, IL 61081-1525
(309) 281-9584

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.023290041.438653
IL

Other

Enumeration date
05/25/2021
Last updated
05/25/2021
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