Individual
MRS. LAKISHA LATHAN TRUESDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
304 NORTH WHITE STREET, LANCASTER, SC 29720-2167
(803) 283-6318
(803) 753-9162
Mailing address
PO BOX 2795, LANCASTER, SC 29721-2795
(803) 283-4445
(803) 339-4094
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3686
SC
235Z00000X
Speech-Language Pathologist
6556
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7412209
—
NC
05
—
SA0607
—
SC
Enumeration date
06/04/2007
Last updated
01/11/2022
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