Individual
LAKISHA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 FM 161 S, HUGHES SPRINGS, TX 75656-6993
(903) 639-2561
Mailing address
215 FM 161 S, HUGHES SPRINGS, TX 75656-6993
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214564
TX
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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