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Individual

KATELYN DENISE SIMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1010 AUBURN AVE, LAFAYETTE, LA 70503-2308
(337) 739-8024
Mailing address
221 VEROT SCHOOL RD APT 213, LAFAYETTE, LA 70508-8213
(337) 739-8024

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
LA

Other

Enumeration date
01/09/2025
Last updated
01/09/2025
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