LACONYA CHARMAINE WITHERSPOON

CLEVELAND, OH
NPI1023984846
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy385H00000X Respite Care
Additional Taxonomies172V00000X Community Health Worker
175T00000X Peer Specialist
Enumeration Date2025-10-17
Last Update Date2025-10-17
Business Address
LACONYA CHARMAINE WITHERSPOON
1213 E 173RD ST APT 1
CLEVELAND, OH 44119-3168
Phone number: 216-250-5685
Mailing Address
LACONYA CHARMAINE WITHERSPOON
1213 E 173RD ST APT 1
CLEVELAND, OH 44119-3168
Phone number: 216-250-5685