Individual
MELISSA S LEBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
27153 OWL LN, MOUNT HERMON, LA 70450-3547
(985) 515-6848
Mailing address
27153 OWL LN, MOUNT HERMON, LA 70450-3547
(985) 515-6848
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4525
LA
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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