Individual
MRS. GADDIE W BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD CCC-SLP
Contact information
Practice address
2969 DUNCAN DR, SHREVEPORT, LA 71119-2401
(318) 459-7830
Mailing address
2969 DUNCAN DR, SHREVEPORT, LA 71119-2401
(318) 459-7830
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2968
LA
Other
Enumeration date
10/25/2008
Last updated
10/25/2008
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