Individual
KATHERINE PRINCE THIBODEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 W PINHOOK RD, LAFAYETTE, LA 70503-2315
(337) 288-0059
Mailing address
239 THIBODEAUX DR, LAFAYETTE, LA 70503-4441
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6351
LA
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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