Individual
MRS. MARY ROQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1054 CANAL BLVD, THIBODAUX, LA 70301-4544
(985) 665-7575
(800) 861-7494
Mailing address
1054 CANAL BLVD, THIBODAUX, LA 70301-4544
(985) 665-7575
(800) 861-7494
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1239
LA
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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