Individual
MRS. RACHEL MCGUFFEE BREITHAUPT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1477 HERBERT ST, JENA, LA 71342-4249
(318) 992-8356
Mailing address
1477 HERBERT ST, JENA, LA 71342-4249
(318) 992-8356
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2894
LA
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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