Robert Latta

NPI #1871033381 in Stilwell, Oklahoma

Provider Information

NPI Number: 1871033381
Entity Type: Individual
Name: Robert Latta
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Mar 2, 2017
Last Updated: Mar 2, 2017

Practice Location

Address: 621 S 4TH ST
City: Stilwell
State: Oklahoma
ZIP Code: 74960-4215
Phone: (918) 696-2181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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