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1598147753
KACIE WEBB PETERSON
LAKE CHARLES, LA
NPI
1598147753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: LA 7374)
Enumeration Date
2015-06-24
Last Update Date
2018-03-21
Business Address
KACIE WEBB PETERSON MA, CCC-L/SLP
852 UNIVERSITY DR
LAKE CHARLES, LA 70605-6120
Phone number: 337-419-0086
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Mailing Address
KACIE WEBB PETERSON MA, CCC-L/SLP
3990 N BLUE SAGE RD
LAKE CHARLES, LA 70605-0189
Phone number: 337-802-0473
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