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Individual

TRACY NICOLE THIBODEAUX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CF-SLP

Contact information

Practice address
2810 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70506-5906
(337) 981-2949
Mailing address
317 ARCENEAUX CIR, SCOTT, LA 70583-4019
(337) 316-2238

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6245
LA

Other

Enumeration date
04/20/2010
Last updated
04/20/2010
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