Latia Danielle Vanloan

NPI #1225503295 in Malden, Massachusetts

Provider Information

NPI Number: 1225503295
Entity Type: Individual
Name: Latia Danielle Vanloan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Oct 5, 2018
Last Updated: Oct 5, 2018

Practice Location

Address: 730 EASTERN AVE
City: Malden
State: Massachusetts
ZIP Code: 02148-5906
Phone: (781) 395-0632

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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