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Individual

MS. LAKEETA LADSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
444A BROAD ST, SUMTER, SC 29150-4157
(704) 681-1110
(704) 749-8540
Mailing address
10 S 9TH ST, STE 4, NOBLESVILLE, IN 46060-2631
(765) 524-3946
(317) 708-6496

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3488
SC
235Z00000X
Speech-Language Pathologist
9366
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SAN033
SC
Enumeration date
12/21/2006
Last updated
11/16/2020
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