Individual
SHANA DAIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
110 BOWIE RD, THIBODAUX, LA 70301-6703
(985) 447-8181
Mailing address
203 DIANA DR, GRAY, LA 70359-5116
(985) 860-8309
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4343
LA
Other
Enumeration date
01/13/2022
Last updated
10/04/2022
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