Individual
CAMIE BOURQUE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, L-SLP, CCC-SLP
Contact information
Practice address
13909 FLORIDA BLVD, LIVINGSTON, LA 70754-6340
(225) 664-2281
(256) 642-2822
Mailing address
PO BOX 1130, LIVINGSTON, LA 70754-1130
(256) 664-2281
(225) 644-2282
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4730
LA
Other
Enumeration date
06/08/2009
Last updated
05/07/2024
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