CODY BRONDON CULBREATH

SHREVEPORT, LA
NPI1487274049
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: LA  6548)
Enumeration Date2020-04-23
Last Update Date2020-04-23
Business Address
CODY BRONDON CULBREATH
1736 IRVING PL
SHREVEPORT, LA 71101-4606
Phone number: 318-221-1983
Mailing Address
CODY BRONDON CULBREATH
206 IXWORTH AVE
BOSSIER CITY, LA 71111-7100
Phone number: 318-331-6993
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