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1316016181
MONDRA ROSE FAZELY
BATON ROUGE, LA
NPI
1316016181
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: LA 2002)
Enumeration Date
2006-11-07
Last Update Date
2007-07-08
Business Address
Ms. MONDRA ROSE FAZELY M.A., CCC-SLP
8676 GOODWOOD BLVD SUITE 204
BATON ROUGE, LA 70806-7914
Phone number: 225-923-1140
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Mailing Address
Ms. MONDRA ROSE FAZELY M.A., CCC-SLP
637 CARRIAGE WAY
BATON ROUGE, LA 70808-4832
Phone number: 225-769-7479
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