Laterra Wunette Champion, M.S.W
NPI #1174653968 in North Hills, California
Provider Information
- NPI Number
- 1174653968
- Entity Type
- Individual
- Name
- Laterra Wunette Champion, M.S.W
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- M.S.W
- Enumeration Date
- Mar 7, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 15317 RAYEN ST
- City
- North Hills
- State
- California
- ZIP Code
- 91343-5117
- Phone
- (818) 892-3423
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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