Individual
ABBY TULLOS MCLAWCHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
817 SAND FOX RUN, MADISONVILLE, LA 70447-3145
(318) 235-8908
Mailing address
817 SAND FOX RUN, MADISONVILLE, LA 70447-3145
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006769507
DRIVERS LICENSE
LA
Enumeration date
02/08/2019
Last updated
07/06/2022
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