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1376869008
TRACY NICOLE THIBODEAUX
LAFAYETTE, LA
NPI
1376869008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: LA 6245)
Enumeration Date
2010-04-20
Last Update Date
2010-04-20
Business Address
-- TRACY NICOLE THIBODEAUX MS, CF-SLP
2810 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70506-5906
Phone number: 337-981-2949
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Mailing Address
-- TRACY NICOLE THIBODEAUX MS, CF-SLP
317 ARCENEAUX CIR
SCOTT, LA 70583-4019
Phone number: 337-316-2238
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