Individual
STEPHANIE VU SHICKSNIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
138 W 116TH ST, CUT OFF, LA 70345-3644
(337) 256-1419
Mailing address
138 W 116TH ST, CUT OFF, LA 70345-3644
(337) 256-1419
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7659
LA
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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