Individual
BLAZE SCHIFFERSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1959 HIGHWAY 3125 STE 3, LUTCHER, LA 70071-5641
(225) 258-9301
Mailing address
1959 HIGHWAY 3125 STE 3, LUTCHER, LA 70071-5641
(225) 258-9301
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8952
LA
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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