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1700552114
KERRILYNN J LATTA
PHOENIX, AZ
NPI
1700552114
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ LCSW-19734)
Enumeration Date
2021-08-17
Last Update Date
2022-11-16
Business Address
KERRILYNN J LATTA LCSW
11225 N 28TH DR STE A-10214
PHOENIX, AZ 85029-5606
Phone number: 623-203-5151
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Mailing Address
KERRILYNN J LATTA LCSW
11225 N 28TH DR STE A-10214
PHOENIX, AZ 85029-5606
Phone number: 623-203-5151
Copy
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