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Individual

MRS. SUSAN ELIZABETH ZAVALYDRIGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, CCC-SP.

Contact information

Practice address
405 N DRESDEN CIR, SHREVEPORT, LA 71115-2904
(318) 798-3925
Mailing address
405 N DRESDEN CIR, SHREVEPORT, LA 71115-2904
(318) 798-3925

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1564
LA

Other

Enumeration date
03/16/2008
Last updated
03/16/2008
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