Individual
MS. LEANNE KAY LATTERELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED CLINICAL SO
Contact information
Practice address
203 SW 8TH ST, REDMOND, OR 97756-1724
(541) 504-5745
(541) 504-5805
Mailing address
203 SW 8TH ST, REDMOND, OR 97756-1724
(541) 504-5745
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1022
OR
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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