Latasha Dominique Richardson
NPI #1114774387 in Lancaster, South Carolina
Provider Information
- NPI Number
- 1114774387
- Entity Type
- Individual
- Name
- Latasha Dominique Richardson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- May 4, 2024
- Last Updated
- May 4, 2024
Practice Location
- Address
- 40163 CROOKED STICK DR
- City
- Lancaster
- State
- South Carolina
- ZIP Code
- 29720-0116
- Phone
- (704) 245-9379
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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