Individual
MRS. HEIDI DUFRENE DETILLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
250 SYCAMORE ST, RACELAND, LA 70394-2739
(985) 209-2168
Mailing address
250 SYCAMORE ST, RACELAND, LA 70394-2739
(985) 209-2168
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5809
LA
Other
Enumeration date
11/24/2008
Last updated
10/07/2022
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