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
ZIP Code
29720-0116
Phone
(704) 245-9379

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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