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1497274781
SHANE GREGORY LATHAM
BIRMINGHAM, AL
NPI
1497274781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 6552)
Enumeration Date
2017-09-18
Last Update Date
2022-11-08
Business Address
SHANE GREGORY LATHAM
100 CENTURY PARK S STE 102
BIRMINGHAM, AL 35226-3922
Phone number: 888-386-9624
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Mailing Address
SHANE GREGORY LATHAM
335 ARABIAN RD
COLUMBIANA, AL 35051-3262
Phone number: 815-353-1013
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