Individual
AMANDA LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 W 3RD ST UNIT E-524, KALKASKA, MI 49646-5107
(231) 620-7977
(231) 715-3222
Mailing address
103 W 3RD ST UNIT E-524, KALKASKA, MI 49646-5107
(231) 620-7977
(231) 715-3222
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
MI
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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