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Individual

LEANNE GORDY CARUSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
100 BULLDOG DR, MANDEVILLE, LA 70471-6101
(985) 892-7112
Mailing address
100 BULLDOG DR, MANDEVILLE, LA 70471-6101
(985) 892-7112

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4312
LA

Other

Enumeration date
08/03/2022
Last updated
08/03/2022
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