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Individual

MISS AVRIE CELESTINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
3310 BROAD ST, LAKE CHARLES, LA 70615-3808
(337) 217-4000
Mailing address
4053 BRENTWOOD ST, LAKE CHARLES, LA 70607-3607
(337) 496-7130

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9467
LA

Other

Enumeration date
01/23/2025
Last updated
01/23/2025
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