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Individual

DAVID L IRWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SLP

Contact information

Practice address
3735 BLAIR DR, SHREVEPORT, LA 71103-4601
(318) 813-4200
(318) 813-4217
Mailing address
1450 CLAIBORNE AVE, SHREVEPORT, LA 71103-4204
(318) 813-2970
(318) 813-2975

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1174173
LA
Enumeration date
07/27/2006
Last updated
01/30/2024
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