Individual
BRANDI L MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CFY
Contact information
Practice address
13170 DUTCHTWN PT AVE, APT 2721, GONZALES, LA 70737-0101
(504) 666-0077
Mailing address
13170 DUTCHTWN PT AVE, APT 2721, GONZALES, LA 70737-0101
(504) 666-0077
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
LA
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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