Shannon Lee Latham
NPI #1679219141 in Wappapello, Missouri
Provider Information
- NPI Number
- 1679219141
- Entity Type
- Individual
- Name
- Shannon Lee Latham
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- May 9, 2022
- Last Updated
- May 9, 2022
Practice Location
- Address
- 18408 WAYNE ROUTE D
- City
- Wappapello
- State
- Missouri
- ZIP Code
- 63966-8659
- Phone
- (573) 222-8676
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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