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Individual
LATOYA R TILFORD
Active
Individual
LATOYA R TILFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.P.F.S
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235622366
—
LA
Enumeration date
06/13/2018
Last updated
10/28/2021
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