Organization
WARDELL INTERESTS, INC
Active
Other names
Little Works In Progress
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY MACKENZIE WARDELL II M.A. CCC-SLP (ADMINISTRATOR/SLP)
(318) 795-3388
Entity
Organization
Contact information
Practice address
2522 E. 70TH STREET, SHREVEPORT, LA 71105
(318) 795-3388
(318) 795-3399
Mailing address
2522 E. 70TH STREET, SHREVEPORT, LA 71105
(318) 795-3388
(318) 795-3399
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
04/15/2014
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