Individual
MRS. COURTNEY BOUDET LIRETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
1978 INDUSTRIAL BLVD, HOUMA, LA 70363-7055
(985) 850-2359
Mailing address
119 BAYOU VISTA DR, THIBODAUX, LA 70301-5701
(985) 493-7366
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5123
LA
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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