Individual
MRS. LORNA HARRALL BOUDREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS L-SLP
Contact information
Practice address
412 CENTRAL AVE, HOUMA, LA 70364-3014
(985) 381-6636
Mailing address
412 CENTRAL AVE, HOUMA, LA 70364-3014
(985) 381-6636
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5977
LA
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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