Individual
DEIDRA FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 W MCNEESE ST, LAKE CHARLES, LA 70605-4114
(337) 377-4315
Mailing address
2200 W MCNEESE ST, LAKE CHARLES, LA 70605-4114
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5603
LA
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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