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1306878681
ALISA JUDITH MENDOZA
PRAIRIEVILLE, LA
NPI
1306878681
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: LA 3013)
Enumeration Date
2006-07-07
Last Update Date
2007-07-08
Business Address
DR. ALISA JUDITH MENDOZA CCC-SLP
37406 PROVENCE POINTE AVE
PRAIRIEVILLE, LA 70769-4397
Phone number: 225-677-9402
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Mailing Address
DR. ALISA JUDITH MENDOZA CCC-SLP
37406 PROVENCE POINTE AVE
PRAIRIEVILLE, LA 70769-4397
Phone number: 225-677-9402
Copy
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