Individual
LARITA GOFORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1129 HIGHWAY 35 S STE 2, FOREST, MS 39074-8829
(601) 469-1001
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2941
MS
Other
Enumeration date
05/16/2011
Last updated
12/11/2018
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