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1053327395
MAURA CARMOUCHE MIZE
LAKE CHARLES, LA
NPI
1053327395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: LA 1075)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
MRS. MAURA CARMOUCHE MIZE M.A. CCC-SLP
1130 PITHON ST
LAKE CHARLES, LA 70601-5245
Phone number: 337-433-4212
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Mailing Address
MRS. MAURA CARMOUCHE MIZE M.A. CCC-SLP
1130 PITHON ST
LAKE CHARLES, LA 70601-5245
Phone number: 337-433-4212
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