Laketa Mccormick
NPI #1417734757 in Kingstree, South Carolina
Provider Information
- NPI Number
- 1417734757
- Entity Type
- Individual
- Name
- Laketa Mccormick
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Adult Companion
- Enumeration Date
- Sep 11, 2023
- Last Updated
- Sep 11, 2023
Practice Location
- Address
- 7 WINCHESTER RD
- City
- Kingstree
- State
- South Carolina
- ZIP Code
- 29556-5772
- Phone
- (803) 977-4652
Specialties & Taxonomy Codes
| Specialty |
|---|
| Adult Companion |
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