Individual
MADELINE CAMILLE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 ALMA DR, BROUSSARD, LA 70518-4788
(337) 852-2260
Mailing address
109 ALMA DR, BROUSSARD, LA 70518-4788
(337) 852-2260
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8754
LA
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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