Individual
SUSAN PANCAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 GRAVIER ST, ROOM 6B21, NEW ORLEANS, LA 70112-2262
(504) 568-4250
(504) 568-4249
Mailing address
1900 GRAVIER ST, ROOM 6B21, NEW ORLEANS, LA 70112-2262
(504) 568-4250
(504) 568-4249
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2193
LA
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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