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Latoya Delere Richard

Developmental Therapist in Matteson, IL. Individual provider (NPI-1).

NPI number1982925962
StatusActive
Last updated in NPPESJun 14, 2010

Details

NPI
1982925962
Entity type
Individual (NPI-1)
Name
Latoya Delere Richard
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 14, 2010
Last updated
Jun 14, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental Therapist––Yes

Practice location

100 Maryview Pkwy
Matteson, IL 60443-1289

Phone 708-825-5783 · Fax 708-720-5636

Mailing address

100 Maryview Pkwy
Matteson, IL 60443-1289

Phone 708-825-5783 · Fax 708-720-5636

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Other Developmental Therapist providers in Matteson, IL

All 11 Developmental Therapist providers in Matteson · All 584 providers in Matteson

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