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Organization
WARDELL INTERESTS, INC
Active
Organization
WARDELL INTERESTS, INC
Active
Other names
Little Works In Progress
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY MACKENZIE WARDELL II M.A. CCC-SLP (ADMINISTRATOR/SLP)
(318) 795-3388
Entity
Organization
Contact information
Practice address
2522 E. 70TH STREET, SHREVEPORT, LA 71105
(318) 795-3388
(318) 795-3399
Mailing address
2522 E. 70TH STREET, SHREVEPORT, LA 71105
(318) 795-3388
(318) 795-3399
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
NULL
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
NULL
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
NULL
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
04/15/2014
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