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Individual

BETHANY LATO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC-IT

Contact information

Practice address
155 E CAPITOL DR STE 8, HARTLAND, WI 53029-2134
(414) 301-3577
Mailing address
402 GENESEE ST APT 207, DELAFIELD, WI 53018-1840
(414) 573-2809

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8333
WI

Other

Enumeration date
01/17/2022
Last updated
01/17/2022
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