Individual
DR. KIMBERLY LATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D, MA, LSW
Contact information
Practice address
1201 N MAIN STREET EXT, BUTLER, PA 16001-1537
(724) 287-5449
Mailing address
5554 WELLESLEY AVE, PITTSBURGH, PA 15206-1443
(412) 719-2735
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW131655
PA
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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