Individual
DENA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
400 HOSPITAL RD, NEW ROADS, LA 70760-2623
(225) 638-4404
Mailing address
PO BOX 7, LAKELAND, LA 70752-0007
(225) 931-4457
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
09145471
LA
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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