Laticia D Vacca

NPI #1942808274 in Stratford, Oklahoma

Provider Information

NPI Number: 1942808274
Entity Type: Individual
Name: Laticia D Vacca
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - School
Enumeration Date: Oct 9, 2020
Last Updated: Oct 9, 2020

Practice Location

Address: 210 N MAGNOLIA
City: Stratford
State: Oklahoma
ZIP Code: 74872-4808
Phone: (580) 759-5025

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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