Individual
CRICKET COLLINSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2206 BECKETT ST, BOSSIER CITY, LA 71111-3730
(318) 366-3558
Mailing address
2514 DOWNS ST, BOSSIER CITY, LA 71111-5116
(318) 366-3558
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7707
LA
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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