Individual
MARY THORNBOR MELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
158 RIVER POINTE, LA PLACE, LA 70068-2953
(985) 479-2379
Mailing address
158 RIVER POINTE, LA PLACE, LA 70068-2953
(985) 479-2379
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1105
LA
Other
Enumeration date
03/06/2015
Last updated
03/06/2015
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