Individual
KENYA JONES GOODIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED,CCC-SLP
Contact information
Practice address
1011 GASTON DR, BREAUX BRIDGE, LA 70517-7912
(337) 347-3037
Mailing address
1011 GASTON DR, BREAUX BRIDGE, LA 70517-7912
(337) 347-3037
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4209
LA
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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