Individual
STACEY ELMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
6016 PEPPER TREE DR, ALEXANDRIA, LA 71303-2196
(318) 794-6947
Mailing address
6016 PEPPER TREE DR, ALEXANDRIA, LA 71303-2196
(318) 794-6947
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4366
LA
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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