Individual
AYANNA GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2017 HUDSON LN, MONROE, LA 71201-5705
(318) 381-8584
Mailing address
2017 HUDSON LN, MONROE, LA 71201-5705
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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