Individual
MR. ERICK JAMES LATTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
10 PEARL ST, ESSEX JUNCTION, VT 05452-3604
(802) 865-3450
Mailing address
10 PEARL ST, ESSEX JUNCTION, VT 05452-3604
(802) 865-3450
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0134160
VT
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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