Individual
LATORIA HUDSON MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, CCM, CBIS
Contact information
Practice address
400 EVERETT DR, LANSING, MI 48915-1106
(517) 803-2261
Mailing address
PO BOX 945, OKEMOS, MI 48805-0945
(517) 803-2261
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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