Individual
TY MARIE WINGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2845 RIDGE RD, DUSON, LA 70529-3939
(337) 521-7630
Mailing address
2845 RIDGE RD, DUSON, LA 70529-3939
(337) 521-7630
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9576
LA
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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