Individual
MRS. ALINE GRAVOIS FOLSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
110 BOWIE RD, THIBODAUX, LA 70301-6703
(985) 447-8181
Mailing address
13693 HIGHWAY 643, VACHERIE, LA 70090-3256
(225) 931-8742
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5187
LA
Other
Enumeration date
01/14/2022
Last updated
10/07/2022
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