Individual
PAULINE V FONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2700 W DEBORAH DR, MONROE, LA 71201
(318) 547-6423
Mailing address
2700 W DEBORAH DR, MONROE, LA 71201-2002
(318) 547-6423
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0002523
CO
Other
Enumeration date
08/28/2017
Last updated
07/12/2018
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