Individual
MS. CAROL J. LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.I.C.S.W.
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
106638
MA
1041C0700X
Clinical Social Worker
Primary
106638
MA
Other
Enumeration date
05/21/2007
Last updated
03/05/2018
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