Individual
BRENDA MARIE FATJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
220 S JEFFERSON ST, ABBEVILLE, LA 70510-5906
(337) 893-3901
Mailing address
201 GREENSPOINT CMN, LAFAYETTE, LA 70508-8009
(337) 856-7694
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2721
LA
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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