LATYTEAUNA GOODWIN

SHREVEPORT, LA
NPI1265273122
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date2024-06-04
Last Update Date2024-06-04
Business Address
LATYTEAUNA GOODWIN
404 HEARNE AVE
SHREVEPORT, LA 71103-2022
Phone number: 318-716-1369
Mailing Address
LATYTEAUNA GOODWIN
404 HEARNE AVE
SHREVEPORT, LA 71103-2022
Phone number: 318-716-1369
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