Individual
MRS. KIRSTEN MCGEE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
7232 WHISPERING PINES DR, SHREVEPORT, LA 71129-9713
(318) 453-7642
Mailing address
7232 WHISPERING PINES DR, SHREVEPORT, LA 71129-9713
(318) 453-7642
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4186
LA
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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