Organization
SOUTHWEST LOUISIANA SPEECH AND LANGUAGE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA STILLS (OWNER)
(337) 478-0298
Entity
Organization
Contact information
Practice address
2542 21ST ST, LAKE CHARLES, LA 70601-6958
(337) 478-0298
Mailing address
2542 21ST ST, LAKE CHARLES, LA 70601-6958
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3676
LA
Other
Enumeration date
05/22/2007
Last updated
08/01/2008
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