Individual
MRS. JACQUELINE SHILO-GRADNIGO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
971 HIGHWAY 167, OPELOUSAS, LA 70570-1227
(337) 826-0777
Mailing address
971 HIGHWAY 167, OPELOUSAS, LA 70570-1227
(337) 826-0777
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3792
LA
Other
Enumeration date
05/30/2005
Last updated
07/08/2007
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