SHELIA FONSECA SOUTHARD

LULING, LA
NPI1508998014
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: LA  2859)
Enumeration Date2007-03-10
Last Update Date2007-07-08
Business Address
-- SHELIA FONSECA SOUTHARD MEd, CCC,SLP
25 ZEE ANN DR
LULING, LA 70070-3130
Phone number: 985-785-2952
Mailing Address
-- SHELIA FONSECA SOUTHARD MEd, CCC,SLP
25 ZEE ANN DR
LULING, LA 70070-3130
Phone number: 985-785-2952
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