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1619234044
TRENT LATHAM HOUSE
RIVERTON, WY
NPI
1619234044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: WY 786)
Enumeration Date
2012-04-23
Last Update Date
2012-04-23
Business Address
TRENT LATHAM HOUSE LCSW
902 NORTH 8TH WEST STREET
RIVERTON, WY 82520-0156
Phone number: 307-857-3111
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Mailing Address
TRENT LATHAM HOUSE LCSW
902 NORTH 8TH WEST STREET PO BOX 1234
RIVERTON, WY 82520-0156
Phone number: 307-857-3111
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