Individual
MRS. KAITLIN CRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.C.D. CCC-SLP
Contact information
Practice address
1011 N CAUSEWAY BLVD, MANDEVILLE, LA 70471-3243
(985) 626-8403
Mailing address
782 BEAU CHENE DR, MANDEVILLE, LA 70471-1637
(225) 362-7420
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12124361
LA
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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