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Individual

MICHELLE ANNE TASSIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.C.D.

Contact information

Practice address
5846 SOUTH POLLARD PARKWAY, BATON ROUGE, LA 70808
(225) 769-5106
Mailing address
5846 SOUTH POLLARD PARKWAY, BATON ROUGE, LA 70808
(225) 769-5106

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3014
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1304671
LA
Enumeration date
05/02/2007
Last updated
07/08/2007
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