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1497371074
CECILIA MARIE FORTENBERRY
MONROE, LA
NPI
1497371074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: LA 8649)
Enumeration Date
2020-06-19
Last Update Date
2020-06-19
Business Address
CECILIA MARIE FORTENBERRY
810 N 29TH ST
MONROE, LA 71201-3704
Phone number: 318-600-4260
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Mailing Address
CECILIA MARIE FORTENBERRY
108 EASY ST
CALHOUN, LA 71225-8555
Phone number: 318-450-9479
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