# WARDELL INTERESTS, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Little Works In Progress
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134266083
- **Authorized official:** MRS. KIMBERLY MACKENZIE WARDELL II M.A. CCC-SLP (ADMINISTRATOR/SLP)
- **Authorized official phone:** (318) 795-3388

## Contact information

- **Practice address:** 2522 E. 70TH STREET, SHREVEPORT, LA 71105
- **Practice address phone:** (318) 795-3388
- **Practice address fax:** (318) 795-3399
- **Mailing address:** 2522 E. 70TH STREET, SHREVEPORT, LA 71105
- **Mailing address phone:** (318) 795-3388
- **Mailing address fax:** (318) 795-3399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251P0200X | Pediatric Physical Therapist | — | NULL | — |
| 2251P0200X | Pediatric Physical Therapist | — | — | — |
| 225XP0200X | Pediatric Occupational Therapist | — | NULL | — |
| 225XP0200X | Pediatric Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | Yes |
| 235Z00000X | Speech-Language Pathologist | — | — | Yes |

## Other

- **Enumeration date:** 01/31/2007
- **Last updated:** 04/15/2014