Individual
CHARLITA D LATTIMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
257 N HAMLET CT, MOORE, SC 29369-8964
(864) 676-2285
(678) 840-2112
Mailing address
PO BOX 369, SIMPSONVILLE, SC 29681-0369
(864) 201-4301
(678) 840-2112
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3406
SC
Other
Enumeration date
07/08/2006
Last updated
07/08/2007
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