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1184369209
AIDEN GENOVESE
COVINGTON, LA
NPI
1184369209
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: LA 8452)
Enumeration Date
2022-05-03
Last Update Date
2022-05-03
Business Address
AIDEN GENOVESE
321 N THEARD ST
COVINGTON, LA 70433-2835
Phone number: 985-892-2276
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Mailing Address
AIDEN GENOVESE
42283 JOSHUA DR
PONCHATOULA, LA 70454-8716
Phone number: 985-640-2548
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