Individual
LACEY HEBERT BIONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1713 RIDGEFIELD RD STE C, THIBODAUX, LA 70301-4399
(985) 449-0944
Mailing address
1713 RIDGEFIELD RD STE C, THIBODAUX, LA 70301-4399
(985) 449-0944
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5789
LA
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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