ELIZABETH CLAIRE BREAUX

THIBODAUX, LA
NPI1457973570
Professional NameELIZABETH CLAIRE BERGERON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: LA  8592)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-05-12
Last Update Date2022-10-03
Business Address
ELIZABETH CLAIRE BREAUX
110 BOWIE RD
THIBODAUX, LA 70301-6703
Phone number: 985-513-2697
Mailing Address
ELIZABETH CLAIRE BREAUX
132 LAKE OLIVIA DR
THIBODAUX, LA 70301-1628
Phone number: