NPI Profile for LAURA GOUDREAU in CHILLUM, MD.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Speech-Language Assistant |
2355S0801X |
| NPI # | 1497261119 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 12/18/2017 | |
| Last updated | 12/18/2017 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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LAURA GOUDREAU
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