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1982925962
LATOYA DELERE RICHARD
MATTESON, IL
NPI
1982925962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2010-06-14
Last Update Date
2010-06-14
Business Address
-- LATOYA DELERE RICHARD
100 MARYVIEW PKWY
MATTESON, IL 60443-1289
Phone number: 708-825-5783
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Mailing Address
-- LATOYA DELERE RICHARD
100 MARYVIEW PKWY
MATTESON, IL 60443-1289
Phone number: 708-825-5783
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