Individual
MRS. MARY GRACE MORONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1135 OLD COLUMBIA RD, WINNSBORO, LA 71295-7663
(318) 439-0923
Mailing address
1135 OLD COLUMBIA RD, WINNSBORO, LA 71295-7663
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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