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Organization
SPEECH BUBBLE
Active
Organization
SPEECH BUBBLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN VAUGHN LERCHIE MCD/CCC-SLP (OWNER/SPEECH-LANGUAGE PATHOLOGIST)
(318) 518-0778
Entity
Organization
Contact information
Practice address
490 SOUTHAVEN LN, SHREVEPORT, LA 71106-8390
(318) 518-0778
Mailing address
490 SOUTHAVEN LN, SHREVEPORT, LA 71106-8390
(318) 518-0778
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
252Y00000X
Early Intervention Provider Agency
—
NULL
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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