Individual
MACY BELL GUILLOTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 CROSBY ST, MANSFIELD, LA 71052-2613
(318) 872-2836
Mailing address
128 FRANK DR, LOGANSPORT, LA 71049-3028
(318) 560-3746
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9018
LA
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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