Individual
MS. MCKENZIE LASSEIGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1028 E WORTHY ST, GONZALES, LA 70737-4367
(504) 399-9851
Mailing address
9375 ROUND OAK DR, BATON ROUGE, LA 70817-6940
(225) 678-1577
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
010994667
LA
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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