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1205309721
CHARLES J LATORRE
DE PERE, WI
NPI
1205309721
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 6831-123)
Enumeration Date
2019-01-08
Last Update Date
2019-01-08
Business Address
Mr. CHARLES J LATORRE LCSW
1325 ANGELS PATH
DE PERE, WI 54115-4050
Phone number: 920-338-2855
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Mailing Address
Mr. CHARLES J LATORRE LCSW
PO BOX 22040
GREEN BAY, WI 54305-2040
Phone number: 920-445-7222
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