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Individual

LAKISHA LATONYA MAPP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
5408 PARK CIR, STONE MOUNTAIN, GA 30083-2260
(404) 234-7550
Mailing address
5408 PARK CIR, STONE MOUNTAIN, GA 30083-2260
(404) 234-7550

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005878
GA

Other

Enumeration date
06/15/2016
Last updated
06/21/2016
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