Individual
BAYLEE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
591 WASHBOARD AVE, PINEVILLE, LA 71360-0112
(318) 201-7977
Mailing address
591 WASHBOARD AVE, PINEVILLE, LA 71360-0112
(318) 201-7977
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8929
LA
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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