Individual
MRS. MICHELE DAUTERIVE BRAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
35 PLOVER ST, NEW ORLEANS, LA 70124-4408
(504) 488-3615
Mailing address
35 PLOVER ST, NEW ORLEANS, LA 70124-4408
(504) 488-3615
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4464
LA
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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