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1245367176
AMY L. BACON
LAFAYETTE, LA
NPI
1245367176
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: LA 5135)
Enumeration Date
2007-02-27
Last Update Date
2013-02-20
Business Address
Mrs. AMY L. BACON MS, CCC-SLP
316 UPLAND DR
LAFAYETTE, LA 70506-6852
Phone number: 337-344-5407
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Mailing Address
Mrs. AMY L. BACON MS, CCC-SLP
PO BOX 60601
LAFAYETTE, LA 70596-0601
Phone number: 337-344-5407
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