Individual
MRS. SUZANNE TINGLE VICKNAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-A
Contact information
Practice address
120 ODEA ST, ABBEVILLE, LA 70510-4033
(337) 893-4258
Mailing address
220 S JEFFERSON ST, ABBEVILLE, LA 70510-5906
(337) 898-3973
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
4283
LA
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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