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1417367897
HOLLY KEBODEAUX MOORE
MONROE, LA
NPI
1417367897
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Former Name
HOLLY DANIELLE KEBODEAUX
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: LA 6469)
Enumeration Date
2014-05-06
Last Update Date
2015-09-28
Business Address
MRS. HOLLY KEBODEAUX MOORE L-SLP; CCC-SLP
211 N 3RD ST SUITE 1
MONROE, LA 71201-6731
Phone number: 318-322-8974
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Mailing Address
MRS. HOLLY KEBODEAUX MOORE L-SLP; CCC-SLP
PO BOX 1462
MONROE, LA 71210-1462
Phone number: 318-953-1380
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