STACY NICOLE FONTENOT

LAKE CHARLES, LA
NPI1932686219
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist
(Licence: LA  7296)
Enumeration Date2018-07-19
Last Update Date2018-07-19
Business Address
MS. STACY NICOLE FONTENOT MS, CF-SLP
1905 TYBEE LN
LAKE CHARLES, LA 70605-4172
Phone number: 337-419-0086
Mailing Address
MS. STACY NICOLE FONTENOT MS, CF-SLP
7013 SHADOW LN
LAKE CHARLES, LA 70605-9056
Phone number: 337-302-7505