STACIE MARIE PROVOSTY

NEW ORLEANS, LA
NPI1447445259
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: LA  5819)
Additional Taxonomies235Z00000X Speech-Language Pathologist,
(Licence: OH  8000)
Enumeration Date2007-09-14
Last Update Date2007-09-14
Business Address
Mrs. STACIE MARIE PROVOSTY M.A. CCC-SLP
3419 SAINT CLAUDE AVE
NEW ORLEANS, LA 70117-6144
Phone number: 504-330-8160
Mailing Address
Mrs. STACIE MARIE PROVOSTY M.A. CCC-SLP
2833 JOSEPH ST
NEW ORLEANS, LA 70115-7043
Phone number: 504-864-8311
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