Individual
KELLY MARIE ABATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 E PRIEN LAKE RD, SUITE 1, LAKE CHARLES, LA 70601-0400
(337) 478-5880
(337) 478-5879
Mailing address
2722B RYAN RD, LAKE CHARLES, LA 70605-5949
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6326
LA
Other
Enumeration date
07/14/2010
Last updated
09/02/2010
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