Individual
MRS. KELSEY BAZZELL ROWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
7709 TAMPA WAY, SHREVEPORT, LA 71105-5701
(318) 415-9298
Mailing address
7709 TAMPA WAY, SHREVEPORT, LA 71105-5701
(318) 415-9298
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7682
LA
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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