Individual
NICOLE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18595 LAKE HARBOR LN, PRAIRIEVILLE, LA 70769-5274
(225) 806-9801
Mailing address
18595 LAKE HARBOR LN, PRAIRIEVILLE, LA 70769-5274
(225) 806-9801
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6686
LA
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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