Individual
CAITLYN BASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 SAINT CLAIR RD, BOYCE, LA 71409-9024
(318) 481-3381
Mailing address
123 SAINT CLAIR RD, BOYCE, LA 71409-9024
(318) 481-3381
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8045
LA
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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