Individual
MISS KYLIE FORET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
507 SAINT MARY ST # A, THIBODAUX, LA 70301-2627
(985) 387-1919
(985) 888-8747
Mailing address
507 SAINT MARY ST # A, THIBODAUX, LA 70301-2627
(985) 387-1919
(985) 888-8747
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8732
LA
Other
Enumeration date
04/14/2022
Last updated
04/19/2022
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