Individual
MRS. BAILEY ELISE QUEBEDEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1041 CHINABERRY DR STE 100, BOSSIER CITY, LA 71111-2466
(318) 746-1199
Mailing address
4025 ELIZABETH LN, BENTON, LA 71006-9728
(504) 920-9676
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9729
LA
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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