Latham, Debra D

Latham, Debra D is an individual health care provider with primary practice located at 3471 Knickerbocker Rd Ste 508, San Angelo TX 76904-8826. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Latham, Debra D can be contacted via phone (325) 942-7531.

Contact Information

Primary practice address
3471 Knickerbocker Rd Ste 508 San Angelo TX 76904-8826
Phone: (325) 942-7531
Fax: (325) 942-7532
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X S06774 Texas

Profile Details

NPI number 1528064391
LBN Legal business name Latham, Debra D
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Jul 26th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528064391 NPPES
Texas Other 117983 SUPERIOR HEALTHPLAN
Texas Other 125054 SUPERIOR HEALTHPLAN

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