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Individual

DANIELLE DUFOUR DAIGLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
71071 HOLLY DR, COVINGTON, LA 70433-6955
(985) 892-6611
Mailing address
71071 HOLLY DR, COVINGTON, LA 70433-6955
(985) 892-6611

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2750
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1474215
LA
Enumeration date
03/09/2007
Last updated
07/08/2007
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