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1619682978
AVERY POLK
LAFAYETTE, LA
NPI
1619682978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: LA 8833)
Enumeration Date
2023-01-20
Last Update Date
2023-01-20
Business Address
AVERY POLK
18 COURTYARD CIR
LAFAYETTE, LA 70508-4900
Phone number: 337-541-8519
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Mailing Address
AVERY POLK
18 COURTYARD CIR
LAFAYETTE, LA 70508-4900
Phone number: 337-541-8519
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