Individual
MICHELE ELMORE TRAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12201 MANSFIELD RD, KEITHVILLE, LA 71047-8534
(318) 364-2742
Mailing address
2226 MURPHY ST, SHREVEPORT, LA 71103-2549
(318) 364-2742
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3684
LA
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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