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Individual

MRS. ELLEN BREAUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
110 BOWIE RD, THIBODAUX, LA 70301-6703
(985) 447-8181
Mailing address
509 VANESSA DR, HOUMA, LA 70360-7154
(985) 688-6192

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7194
LA

Other

Enumeration date
01/14/2022
Last updated
10/04/2022
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