Individual
ANGELA BOURQUE BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
398 SANDPIPER PL, SUNSET, LA 70584-5409
(337) 662-1167
Mailing address
398 SANDPIPER PL, SUNSET, LA 70584-5409
(337) 662-1167
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3821
LA
Other
Enumeration date
05/26/2009
Last updated
12/28/2011
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