Individual
ALINE S FAVOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
47322 HIGHWAY 445, ROBERT, LA 70455-1802
(985) 340-0977
Mailing address
47322 HIGHWAY 445, ROBERT, LA 70455-1802
(985) 340-0977
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
432
LA
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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