VICKI SUMMERVILLE

MARRERO, LA
NPI1205597614
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: LA  5113)
Enumeration Date2022-01-07
Last Update Date2022-01-07
Business Address
VICKI SUMMERVILLE
4600 RIVER RD
MARRERO, LA 70072-1943
Phone number: 504-349-8680
Mailing Address
VICKI SUMMERVILLE
4600 RIVER RD
MARRERO, LA 70072-1943
Phone number: 504-349-8680