Individual
GRACE ANNE MCGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.C.D
Contact information
Practice address
9514 HAMPSTEAD CIR, SHREVEPORT, LA 71106-7698
(318) 560-7268
Mailing address
9514 HAMPSTEAD CIR, SHREVEPORT, LA 71106-7698
(318) 560-7268
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8383
LA
Other
Enumeration date
06/17/2019
Last updated
09/01/2021
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