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Individual

MARY C GENO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
14417 HIGHWAY 442 W, TICKFAW, LA 70466-3022
(985) 345-2166
Mailing address
14417 HIGHWAY 442 W, TICKFAW, LA 70466-3022
(985) 345-2166

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1981
LA

Other

Enumeration date
08/12/2022
Last updated
08/12/2022
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