Individual
LACIE FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS L-SLP CCC-SLP
Contact information
Practice address
8444 CECIL DR, DENHAM SPRINGS, LA 70706-1244
(225) 572-1207
Mailing address
8444 CECIL DR, DENHAM SPRINGS, LA 70706-1244
(225) 572-1207
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7219
LA
Other
Enumeration date
10/16/2020
Last updated
11/08/2024
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