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Individual

LINDSEY MELISSA GOFORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1806 MARTIN LUTHER KING JR BLVD, LUFKIN, TX 75904-1226
(936) 630-4292
Mailing address
1446 SLEEPY HOLLOW DR, LUFKIN, TX 75904-4805
(936) 366-6342

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109340
TX
225XP0200X
Pediatric Occupational Therapist
109340
TX

Other

Enumeration date
02/28/2018
Last updated
02/28/2018
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