LARITA GOFORTH

FOREST, MS
NPI1205129889
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MS  S2941)
Enumeration Date2011-05-16
Last Update Date2018-12-11
Business Address
LARITA GOFORTH SLP
1129 HIGHWAY 35 S STE 2
FOREST, MS 39074-8829
Phone number: 601-469-1001
Mailing Address
LARITA GOFORTH SLP
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: