Individual
MRS. BILLY KAY BAUCUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1515 FAIRMONT ST, BATON ROUGE, LA 70808-1049
(225) 387-0423
Mailing address
1515 FAIRMONT ST, BATON ROUGE, LA 70808-1049
(225) 387-0423
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
489
LA
Other
Enumeration date
07/15/2007
Last updated
07/15/2007
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