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Individual

MRS. GWYN ACOSTA CREEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
529 BRENTWOOD BLVD, LAFAYETTE, LA 70503-4453
(337) 989-1849
Mailing address
529 BRENTWOOD BLVD, LAFAYETTE, LA 70503-4453
(337) 989-1849

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4874
LA

Other

Enumeration date
04/23/2012
Last updated
04/23/2012
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