Individual
MARISSA MUNN MOULEDOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
612 HOLY TRINITY DR, COVINGTON, LA 70433
(985) 643-5630
Mailing address
249 KNOLL PINE CIR, COVINGTON, LA 70435-5615
(318) 376-7076
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8000
LA
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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