Individual
YVIE FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 LA-1241, DRY PRONG, LA 71423-0208
(318) 641-1882
Mailing address
PO BOX 208, COLFAX, LA 71417-0208
(318) 641-1882
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5655
LA
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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