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Individual

MRS. KRISTY CECILE MATTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
916 TOPSY RD, LAKE CHARLES, LA 70611-5810
(337) 217-4780
Mailing address
181 IEYOUB RD, RAGLEY, LA 70657-3016
(337) 240-4062

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5169
LA

Other

Enumeration date
08/11/2022
Last updated
08/11/2022
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