Individual
VICKI M LATIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2707 E 21ST ST N, WICHITA, KS 67214-2249
(316) 691-0249
(316) 691-9939
Mailing address
2707 E 21ST ST N, WICHITA, KS 67214-2249
(316) 691-0249
(316) 691-9939
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
067
KS
104100000X
Social Worker
Primary
10065
KS
Other
Enumeration date
06/11/2013
Last updated
01/12/2019
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