Individual
TAYLOR CHRETIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1618 MILL ST, LAKE CHARLES, LA 70601-3351
(337) 502-3728
Mailing address
1618 MILL ST, LAKE CHARLES, LA 70601-3351
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
119171
TX
Other
Enumeration date
10/24/2022
Last updated
05/16/2024
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