Desiree Thibodeaux
NPI #1932329661 in Bogue Chitto, Mississippi
Provider Information
- NPI Number
- 1932329661
- Entity Type
- Individual
- Name
- Desiree Thibodeaux
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Apr 26, 2007
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 20 THE RAYS TRL SE
- City
- Bogue Chitto
- State
- Mississippi
- ZIP Code
- 39629-8500
- Phone
- (601) 833-8363
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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