Individual
MARGARET KORDISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
142 ACACIA DR, LAFAYETTE, LA 70508-4002
(337) 264-1303
Mailing address
142 ACACIA DR, LAFAYETTE, LA 70508-4002
(337) 264-1303
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4062
LA
Other
Enumeration date
04/14/2007
Last updated
07/08/2007
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