Most Relevant Information
Provider Data
| NPI Number: | 1003002684 |
| Provider Name: | CARRIE COOK LATT LISW-S |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | I.1501349-SUPV |
Most Important Dates
| Enumeration Date: | 09/18/2007 |
| Last Updated: | 10/13/2023 |
Provider Practice Location
1010 VALLEY ST
DAYTON
OH
454042070
Practice Location Phone/Fax
| Phone: | 9376413401 |
| Fax: | 9376413046 |
Provider Mailing Location
PO BOX 933421
CLEVELAND
OH
441930039
Provider Mailing Phone/Fax
| Phone: | 9376415072 |
| Fax: | 9376416129 |