Individual
LASHAUNE SHERICE RECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 N BRAND BLVD STE 100, GLENDALE, CA 91203-3240
(747) 286-2600
Mailing address
4400 W RIVERSIDE DR # 110-329, BURBANK, CA 91505-4046
(310) 415-0774
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
—
—
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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