Individual
MS. LATARA DEHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9853 MESA VERDE AVE, BATON ROUGE, LA 70814-4338
(225) 907-4170
Mailing address
9853 MESA VERDE AVE, BATON ROUGE, LA 70814-4338
(225) 907-4170
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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