MAURA CARMOUCHE MIZE

LAKE CHARLES, LA
NPI1053327395
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: LA  1075)
Enumeration Date2006-07-31
Last Update Date2007-07-08
Business Address
Mrs. MAURA CARMOUCHE MIZE m.a. ccc-slp
1130 PITHON ST
LAKE CHARLES, LA 70601-5245
Phone number: 337-433-4212
Mailing Address
Mrs. MAURA CARMOUCHE MIZE m.a. ccc-slp
1130 PITHON ST
LAKE CHARLES, LA 70601-5245
Phone number: 337-433-4212