Individual
MRS. GWENDOLYN R CUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
112 DANIEL CIR, NATCHITOCHES, LA 71457-6129
(318) 471-3935
Mailing address
112 DANIEL CIR, NATCHITOCHES, LA 71457-6129
(318) 471-3935
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1909
LA
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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