Latesha Edmon

NPI #1770398638 in Laveen, Arizona

Provider Information

NPI Number
1770398638
Entity Type
Individual
Name
Latesha Edmon
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
Feb 10, 2025
Last Updated
Feb 10, 2025

Practice Location

Address
6519 W BRANHAM LN
City
Laveen
State
Arizona
ZIP Code
85339-2723
Phone
(815) 514-8647

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Emotionally Disturbed Children

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