LARISA BOURGEOIS

AUSTIN, TX
NPI1114146859
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: TX  100540)
Enumeration Date2007-04-24
Last Update Date2013-04-24
Business Address
-- LARISA BOURGEOIS S.L.P.
305 GALLOWAY LN
AUSTIN, TX 78737-4675
Phone number: 512-784-5669
Mailing Address
-- LARISA BOURGEOIS S.L.P.
305 GALLOWAY LN
AUSTIN, TX 78737-4675
Phone number: 512-784-5669
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