Individual
MS. MEAGAN MOFFETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBA
Contact information
Practice address
1103 HUDSON LN, MONROE, LA 71201-6035
(318) 322-6500
(318) 322-5118
Mailing address
173 MOFFETT RD, JENA, LA 71342-5747
(318) 316-5077
(318) 322-6500
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-284
LA
Other
Enumeration date
04/20/2018
Last updated
04/20/2018
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