Individual
MRS. CHARLENE MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
944 MAXIMILLIAN ST, BATON ROUGE, LA 70802-6316
(225) 288-2850
Mailing address
944 MAXIMILLIAN ST, BATON ROUGE, LA 70802-6316
(225) 288-2850
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3733
LA
Other
Enumeration date
11/26/2007
Last updated
11/26/2007
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