Individual
ALEXA ELIZABETH ROUSSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12125 MAGNOLIA ST., GRAMERCY, LA 70052
(225) 331-0674
Mailing address
PO BOX 971, GRAMERCY, LA 70052-0971
(225) 331-0674
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9429
LA
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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