Individual
MISS TIFFANY RALET GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1001 E DALE ST, APT 506, NEW IBERIA, LA 70560-4867
(337) 369-6697
Mailing address
1001 E DALE ST, APT 506, NEW IBERIA, LA 70560-4867
(337) 369-6697
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
24833
TX
235Z00000X
Speech-Language Pathologist
Primary
5339
LA
Other
Enumeration date
04/17/2007
Last updated
06/13/2008
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