Individual
ELIZABETH TYCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4739 HIGHWAY 10, JACKSON, LA 70748-3509
(601) 250-4815
Mailing address
2 FALCON ST, ANGOLA, LA 70712
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5882
LA
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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