Individual
ELIZABETH CLAIRE BREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 BOWIE RD, THIBODAUX, LA 70301-6703
(985) 513-2697
Mailing address
132 LAKE OLIVIA DR, THIBODAUX, LA 70301-1628
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8592
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2020
Last updated
10/03/2022
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