Thomas M Latimer, LICSW Valid NPI
Individual provider · Clinical Social Worker · New Brighton, MN
- NPI
- 1205917341
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 12301 (MN)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-10-17
- Last updated
- 2014-07-02
Practice location
1900 Silver Lake Rd Nw, Suite 110
New Brighton, MN 55112-1786
(651) 628-4993