Individual
MRS. HOLLY KEBODEAUX MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L-SLP; CCC-SLP
Contact information
Practice address
211 N 3RD ST, SUITE 1, MONROE, LA 71201-6731
(318) 322-8974
Mailing address
PO BOX 1462, MONROE, LA 71210-1462
(318) 953-1380
(318) 322-8290
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6469
LA
Other
Enumeration date
05/06/2014
Last updated
09/28/2015
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