About Lathan Dean Wise
He is located at 3400 State St Site G750, , in Salem, MO 65560. Appointment can be made via the phone number 0000000000.
Lathan Dean Wise - Address, Phone & Website
3400 State St Site G750, , Salem, MO 65560
0000000000
Medical Specialties & Taxonomy codes
| Primary | Specialty | Taxonomy Code |
|---|---|---|
| Yes | Behavior Technician | 106S00000X |
Licenses
| State | License Number |
|---|---|
| Missouri | C056195007 |