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Individual

CLARE ELIZABETH FONTENOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
8322 JEFFERSON HWY, BATON ROUGE, LA 70809-1624
(225) 366-8016
Mailing address
15151 PROFIT AVE, BATON ROUGE, LA 70817-5342

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2022027894
MO
235Z00000X
Speech-Language Pathologist
Primary
9754
LA

Other

Enumeration date
07/24/2022
Last updated
03/31/2025
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