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Individual

KAYLYN GOODFRIEND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2110 OAK PARK BLVD, LAKE CHARLES, LA 70601-7864
(337) 475-1011
Mailing address
2110 OAK PARK BLVD, LAKE CHARLES, LA 70601-7864

Taxonomy

Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN151759
LA

Other

Enumeration date
04/12/2021
Last updated
04/12/2021
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