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Individual

MS. EMMA D. DEROUSSELLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
323 E ALEXANDER ST, LAFAYETTE, LA 70501-1326
(337) 233-1721
(337) 233-1721
Mailing address
323 E ALEXANDER ST, LAFAYETTE, LA 70501-1326
(337) 233-1721
(337) 233-1721

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3679
LA

Other

Enumeration date
09/12/2007
Last updated
09/12/2007
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