Individual
DEBORAH KAY HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6331 W PORT AVE, SHREVEPORT, LA 71129-2415
(318) 671-0310
Mailing address
1293 FIELD LARK LN NE, BROOKHAVEN, MS 39601-2089
(601) 823-5435
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
L-SLP599
LA
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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