Individual
DR. GLENDA LOUISE LATIMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
36 GEORGIA RD, BUTLER, GA 31006-4615
(478) 862-3913
(478) 862-3913
Mailing address
36 GEORGIA RD, BUTLER, GA 31006-4615
(478) 862-3913
(478) 862-3913
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
GA
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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