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Individual

MRS. MARY ELAINE M OSBORNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1100 N VICTOR II BLVD, MORGAN CITY, LA 70380-1331
(985) 385-4327
(985) 385-1988
Mailing address
1100 N VICTOR II BLVD, MORGAN CITY, LA 70380-1331
(985) 385-4327
(985) 385-1988

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
4239
LA
235500000X
Speech/Language/Hearing Specialist/Technologist
4239
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1544612
LA
01
4239
STATE LICENSE NUMBER
LA
Enumeration date
06/28/2006
Last updated
03/15/2016
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