Individual
MS. DEDRA STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
40302 BORDEAUX ST, PRAIRIEVILLE, LA 70769-5432
(225) 938-0623
Mailing address
40302 BORDEAUX ST, PRAIRIEVILLE, LA 70769-5432
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2027
LA
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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