Individual
JOHN RICHARD LATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
707 HIGHWAY 33 S, SUITE 9B, CLOQUET, MN 55720-2696
(218) 878-9352
Mailing address
707 HIGHWAY 33 S, SUITE 9B, CLOQUET, MN 55720-2696
(218) 878-9352
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2374
MN
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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