Individual
MS. CAROLYN ELIZABETH BOUDREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
2900 CHARLEVOIX DR SE, SUITE 200, GRAND RAPIDS, MI 49546-7085
(800) 325-8064
(800) 325-1326
Mailing address
1748 E HERMITAGE ST, GONZALES, LA 70737-4914
(225) 715-3753
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05663
MD
235Z00000X
Speech-Language Pathologist
5657
LA
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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