Individual
MS. LAKISHA D ERVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A
Contact information
Practice address
500 FAIRWAY DR. STE. 102, DEERFIELD BEACH, FL 33441
(888) 880-9270
Mailing address
120 TURRET LANE APT. 2, HAMPTON, VA 23669
(757) 675-4722
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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