Individual
LATEIA HEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 CENTENNIAL DR, PRINCETON, KY 42445-1271
(270) 601-0190
Mailing address
405 CENTENNIAL DR, PRINCETON, KY 42445-1271
(270) 601-0190
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/04/2024
Last updated
07/04/2024
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