Individual
DR. MARY COLEEN SPEED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT/PHD
Contact information
Practice address
211 W ALABAMA AVE, RUSTON, LA 71270-4301
(318) 680-5960
(318) 274-3114
Mailing address
1000 WEDGEWOOD DR, RUSTON, LA 71270-1907
(318) 680-5960
(318) 274-3114
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
725
LA
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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