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Individual

MISS AMY K DODGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
225 CORPORATE DR, HOUMA, LA 70360-2769
(508) 494-1473
Mailing address
311 RAVENSAIDE DR, HOUMA, LA 70360-8369
(985) 873-8586
(985) 873-8565

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA7340
LA

Other

Enumeration date
01/19/2018
Last updated
10/10/2020
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