Individual
KATIE ELIZABETH BOUDREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
230 LOUIS EMILE DR, GRAY, LA 70359-5340
(985) 790-9117
Mailing address
230 LOUIS EMILE DR, GRAY, LA 70359-5340
(985) 790-9117
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6028
LA
Other
Enumeration date
05/18/2010
Last updated
09/29/2022
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