Individual
LAKISHA REDDITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4978 ODELL ST, SAINT LOUIS, MO 63139-1010
(314) 679-0902
Mailing address
4978 ODELL ST, SAINT LOUIS, MO 63139-1010
(314) 679-0902
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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