Individual
KEITA J GANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10001 LAKE FOREST BLVD, SUITE 820, NEW ORLEANS, LA 70127-6200
(504) 342-5368
Mailing address
10001 LAKE FOREST BLVD, SUITE 820, NEW ORLEANS, LA 70127-6200
(504) 342-5368
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4100
LA
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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