Individual
LASHERRIE B WILKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1142 NORMANDY DR, KISSIMMEE, FL 34759-7007
(407) 454-4720
Mailing address
PO BOX 580146, KISSIMMEE, FL 34758-0002
(407) 454-4720
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/12/2020
Last updated
08/16/2020
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