Individual
MINDY M GREMILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
706 W 28TH AVE, COVINGTON, LA 70433-1466
(985) 898-3311
Mailing address
706 W 28TH AVE, COVINGTON, LA 70433-1466
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9503
LA
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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