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Organization
SOUTHWEST LOUISIANA SPEECH AND LANGUAGE SERVICES, LLC
Active
Organization
SOUTHWEST LOUISIANA SPEECH AND LANGUAGE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA STILLS (OWNER)
(337) 478-0298
Entity
Organization
Contact information
Practice address
2542 21ST ST, LAKE CHARLES, LA 70601-6958
(337) 478-0298
Mailing address
2542 21ST ST, LAKE CHARLES, LA 70601-6958
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3676
LA
Other
Enumeration date
05/22/2007
Last updated
08/01/2008
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