Individual
STEFANIE THIBODAUX PROTHRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
601 TEEMA RD, CARENCRO, LA 70520-3718
(337) 521-7640
Mailing address
206 DAYNA DR, CARENCRO, LA 70520-5148
(337) 520-5029
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4192
LA
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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