Individual
MARY JUNE LATU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1141 E 3900 S, SUITE A170, SLC, UT 84124-1215
(801) 284-4990
Mailing address
246 HILLSIDE CIR, ALPINE, UT 84004-1342
(315) 408-7775
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7114496-3501
UT
Other
Enumeration date
04/29/2009
Last updated
10/14/2010
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