Individual
MRS. SHANNAN BOYLE MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
465 AUTUMN CREEK DR, MADISONVILLE, LA 70447-3611
(985) 792-4596
Mailing address
465 AUTUMN CREEK DR, MADISONVILLE, LA 70447-3611
(985) 792-4596
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5089
LA
Other
Enumeration date
10/24/2008
Last updated
10/24/2008
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