Individual
LAERICA HALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25701 N LAKELAND BLVD STE 403, EUCLID, OH 44132-2453
(949) 500-3155
Mailing address
25701 N LAKELAND BLVD STE 403, EUCLID, OH 44132-2453
(949) 500-3155
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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