Individual
MARY O. LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 S JEFFERSON ST, ABBEVILLE, LA 70510-5906
(337) 643-7965
Mailing address
138 E BAYOU SHR, LAFAYETTE, LA 70508-7921
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
R1548
LA
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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