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1821387804
ELLEN CHIFICI VAN WAGENER
PRAIRIEVILLE, LA
NPI
1821387804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: LA 4776)
Enumeration Date
2011-03-30
Last Update Date
2011-03-30
Business Address
Mrs. ELLEN CHIFICI VAN WAGENER MCD, CCC-SLP
36515 MANCHAC TRACE AVE
PRAIRIEVILLE, LA 70769-3223
Phone number: 225-333-0685
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Mailing Address
Mrs. ELLEN CHIFICI VAN WAGENER MCD, CCC-SLP
36515 MANCHAC TRACE AVE
PRAIRIEVILLE, LA 70769-3223
Phone number: 225-333-0685
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