Lathen, Carolyn J
Lathen, Carolyn J is an individual health care provider with primary practice located at N91W17271 Appleton Ave Suite 1, Menomonee Falls WI 53051-2045. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Lathen, Carolyn J can be contacted via phone (262) 502-3300.Contact Information
Primary practice address
N91W17271 Appleton Ave Suite 1
Menomonee Falls WI 53051-2045
Phone: (262) 502-3300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 6561 | Wisconsin |
Profile Details
| NPI number | 1770522815 |
|---|---|
| LBN Legal business name | Lathen, Carolyn J |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Oct 5th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770522815 | NPPES |
| Wisconsin | MEDICAID | 39718300 |
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