Latara Anderson's National Provider Identifier (NPI) Details
Latara Anderson, LCSW
NPI: 1255088563
Enumeration Date: 2022-03-07
Last updated: 2022-03-07
Sole Proprietor: YES
Status: active
Postal Address: 599 SIESTA KEY AVE, TAVARES, FL
Phone: 786-925-8434
Primary Practice Address: 599 SIESTA KEY AVE, TAVARES, FL
Practice's phone: 786-925-8434