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1740686112
LAKISHA D ERVIN
DEERFIELD BEACH, FL
NPI
1740686112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2014-11-13
Last Update Date
2014-11-13
Business Address
Ms. LAKISHA D ERVIN B.A
500 FAIRWAY DR. STE. 102
DEERFIELD BEACH, FL 33441
Phone number: 888-880-9270
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Mailing Address
Ms. LAKISHA D ERVIN B.A
120 TURRET LANE APT. 2
HAMPTON, VA 23669
Phone number: 757-675-4722
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