Individual
CELESTE CREWS MAURO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS L-SLP CCC-SLP
Contact information
Practice address
13909 FLORIDA BLVD, LIVINGSTON, LA 70754-6340
(225) 686-4319
Mailing address
PO BOX 1130, LIVINGSTON, LA 70754-1130
(225) 686-4319
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3767
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1-47427-4
—
LA
01
—
146.017545
IL LIC
IL
05
—
2643118
—
LA
01
—
289132
KY LIC
KY
01
—
3767
LA LICENCE NUMBER
LA
Enumeration date
03/07/2007
Last updated
05/03/2024
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