STACEY SACKETT THIBODEAUX

LULING, LA
NPI1235885617
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: LA  5110)
Enumeration Date2022-02-24
Last Update Date2022-02-24
Business Address
STACEY SACKETT THIBODEAUX
13855 RIVER RD
LULING, LA 70070-6220
Phone number: 985-331-1018
Mailing Address
STACEY SACKETT THIBODEAUX
13855 RIVER RD
LULING, LA 70070-6220
Phone number: 985-331-1018