Individual
MISS MICAELA ROSE DAUZAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CF-SLP
Contact information
Practice address
7408 HIGHWAY 1, MANSURA, LA 71350-4204
(318) 964-2198
Mailing address
4004 GREMILLION LN, HESSMER, LA 71341-4637
(318) 305-1434
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8565
LA
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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