Individual
SHANNON FRUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.C.D., CCC-SLP
Contact information
Practice address
4600 RIVER RD, MARRERO, LA 70072-1943
(337) 654-7404
Mailing address
4600 RIVER RD, MARRERO, LA 70072-1943
(337) 654-7404
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3290
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1701033
—
LA
Enumeration date
02/26/2007
Last updated
01/10/2022
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