Individual
MARY DEBRUEYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.C.D.
Contact information
Practice address
3631 S LAKESHORE DR, BATON ROUGE, LA 70808-3631
(225) 388-9822
Mailing address
3631 S LAKESHORE DR, BATON ROUGE, LA 70808-3631
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
636
LA
235Z00000X
Speech-Language Pathologist
Primary
636
LA
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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