Individual
CECILIA MARIE FORTENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
810 N 29TH ST, MONROE, LA 71201-3704
(318) 600-4260
Mailing address
108 EASY ST, CALHOUN, LA 71225-8555
(318) 450-9479
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8649
LA
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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