Individual
LATRICE M REDDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5948 S CAMPBELL AVE APT 2, CHICAGO, IL 60629-1120
(773) 526-8233
Mailing address
5948 S CAMPBELL AVE APT 2, CHICAGO, IL 60629-1120
(773) 526-8233
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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