FONDA GAIL LATHAM

TYLER, TX
NPI1306978135
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: TX  00557)
Enumeration Date2007-03-09
Last Update Date2007-07-08
Business Address
Ms. FONDA GAIL LATHAM LCSW
1305 S BAXTER AVE
TYLER, TX 75701-3404
Phone number: 903-714-1130
Mailing Address
Ms. FONDA GAIL LATHAM LCSW
113 HENRY DR
BULLARD, TX 75757-9375
Phone number: 903-714-1130
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