Lathan Dean Wise
NPI #1578150736 in Salem, Missouri
Provider Information
- NPI Number
- 1578150736
- Entity Type
- Individual
- Name
- Lathan Dean Wise
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Dec 22, 2020
- Last Updated
- Dec 22, 2020
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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