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Organization
BRAINWORKS OF LOUISIANA, LLC
Active
Organization
BRAINWORKS OF LOUISIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON FRUGE M.C.D (OWNER/SPEECH PATHOLOGIST)
(337) 232-2680
Entity
Organization
Contact information
Practice address
101 LA RUE FRANCE, SUITE 203, LAFAYETTE, LA 70508-3144
(337) 232-2680
Mailing address
605 WOODVALE AVE, LAFAYETTE, LA 70503-3536
(337) 984-3652
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3290
LA
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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