Latham, Fonda Gail
Latham, Fonda Gail is an sole proprietor health care provider with primary practice located at 1305 S Baxter Ave , Tyler TX 75701-3404. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Latham, Fonda Gail can be contacted via phone (903) 714-1130.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 00557 | Texas |
Profile Details
| NPI number | 1306978135 |
|---|---|
| LBN Legal business name | Latham, Fonda Gail |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2007 |
| Last updated | Jul 8th, 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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