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1043539901
TRACY M MADERE
BATON ROUGE, LA
NPI
1043539901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: LA 5870)
Enumeration Date
2010-05-18
Last Update Date
2010-05-18
Business Address
-- TRACY M MADERE CCC-SLP
5536 SUPERIOR DR SUITE B
BATON ROUGE, LA 70816-6064
Phone number: 225-802-7748
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Mailing Address
-- TRACY M MADERE CCC-SLP
14655 PICOU RD
MAUREPAS, LA 70449-8265
Phone number: 225-695-3895
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