Individual
KERRILYNN J LATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11225 N 28TH DR STE A-10214, PHOENIX, AZ 85029-5606
(623) 203-5151
(480) 718-7487
Mailing address
11225 N 28TH DR STE A-10214, PHOENIX, AZ 85029-5606
(623) 203-5151
(480) 718-7487
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-19734
AZ
Other
Enumeration date
08/17/2021
Last updated
11/16/2022
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