Individual
KANDI GROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1028 E WORTHY ST, GONZALES, LA 70737-4367
(225) 257-9574
Mailing address
1028 E WORTHY ST, GONZALES, LA 70737-4367
(225) 257-9574
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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