Latavia Wynee Conner, M.A.
Case Manager/Care Coordinator in Florissant, MO. Individual provider (NPI-1).
NPI number1073960985
StatusActive
Last updated in NPPESMay 20, 2016
Details
- NPI
- 1073960985
- Entity type
- Individual (NPI-1)
- Name
- Latavia Wynee Conner
- Credential
- M.A.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 20, 2016
- Last updated
- May 20, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 101YP2500X | Counselor, Professional | – | – |
Practice location
6740 Foxbend CtFlorissant, MO 63033-4807
Phone 314-223-6944
Mailing address
6740 Foxbend CtFlorissant, MO 63033-4807
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