Individual
MRS. KIMALA WINGER BOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACCC-SLP
Contact information
Practice address
232 IVORY STREET, LAFAYETTE, LA 70506
(504) 554-0765
(337) 504-4961
Mailing address
232 IVORY STREET, LAFAYETTE, LA 70506
(337) 504-2498
(337) 504-4961
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3248
LA
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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