Individual
AWOVI ADU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
47147 VINEYARD TRCE, HAMMOND, LA 70401-4086
(985) 215-9689
Mailing address
47147 VINEYARD TRCE, HAMMOND, LA 70401-4086
(985) 215-9689
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8273
LA
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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