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NPI Code Detail

MEDICARE: HANNAH LATIMER CSW

MEDICARE: HANNAH LATIMER CSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker14130768-3502UT

General Provider Information

NPI Number : 1639998974
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH LATIMER CSW
Provider Business Mailing Address
First Line : 3002 W 12600 S
Second Line :
City : RIVERTON
State : UT
Zip : 84065-7119
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3002 W 12600 S
Second Line :
City : RIVERTON
State : UT
Zip : 84065-7119
Country : US
Telephone Number : 801-930-0411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2024
Last Update Date : 10/04/2024

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Directions to “ HANNAH LATIMER CSW” Practice Location

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