Individual
DEBBRA LAFORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1020 N SCHOOL ST, EUREKA, KS 67045-1106
(615) 896-6400
Mailing address
439 EUNICE ST, EL DORADO, KS 67042-3339
(316) 775-7576
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
148
KS
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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