NPI 1003290305

Lisa Ann Lataille, LMSW

Practitioner Social Worker Valley Stream, NY

Practice location

Address: 18 Court St, Valley Stream, NY 11580-3202
Phone: (516) 837-3368

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 047476-1 (NY)

Other Social Worker providers in New York →

Registry record

NPI: 1003290305
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jul 2015
Record last updated: 16 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.