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1932686219
STACY NICOLE FONTENOT
LAKE CHARLES, LA
NPI
1932686219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: LA 7296)
Enumeration Date
2018-07-19
Last Update Date
2018-07-19
Business Address
MS. STACY NICOLE FONTENOT MS, CF-SLP
1905 TYBEE LN
LAKE CHARLES, LA 70605-4172
Phone number: 337-419-0086
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Mailing Address
MS. STACY NICOLE FONTENOT MS, CF-SLP
7013 SHADOW LN
LAKE CHARLES, LA 70605-9056
Phone number: 337-302-7505
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