Individual
MRS. GAIL BUCHANAN WHITENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M A CCC-SLP
Contact information
Practice address
736 COACHLIGHT ROAD, SHREVEPORT, LA 71106-7230
(318) 869-2968
Mailing address
736 COACHLIGHT ROAD, SHREVEPORT, LA 71106-7230
(318) 869-2968
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
09149609
LA
Other
Enumeration date
03/11/2011
Last updated
03/11/2011
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