Individual
KATIE BAMBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
834 TWIN OAKS RD, STONEWALL, LA 71078-9371
(318) 990-0840
Mailing address
834 TWIN OAKS RD, STONEWALL, LA 71078-9371
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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