Individual
KATHERINE CLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 ALCIDE BONIN RD, CECILIA, LA 70521
(337) 667-6700
Mailing address
1021 ALCIDE BONIN RD, CECILIA, LA 70521
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10019
LA
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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