Individual
MOLLY M BROUILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
1900 GRAVIER ST, 9TH FLOOR, NEW ORLEANS, LA 70112-2262
(504) 568-6520
(504) 568-4352
Mailing address
1900 GRAVIER ST, 9TH FLOOR, NEW ORLEANS, LA 70112-2262
(504) 568-6520
(504) 568-4352
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5512
LA
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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