Individual
MRS. GRETCHEN WINDOM BADON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
63 LURLINE DR, COVINGTON, LA 70433-1048
(985) 871-1758
Mailing address
63 LURLINE DR, COVINGTON, LA 70433-1048
(985) 871-1758
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5191
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477028
—
LA
Enumeration date
08/13/2008
Last updated
06/24/2009
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