Individual
MRS. LESLIE WARTELLE DEROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
220 S JEFFERSON ST, ABBEVILLE, LA 70510-5906
(337) 893-4978
Mailing address
1428 S FIELDSPAN RD, DUSON, LA 70529-3306
(337) 935-6224
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4190
LA
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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