Individual
MARIAH MCCALL FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 OLIVE ST, SHREVEPORT, LA 71104-2210
(318) 302-6000
(318) 302-6001
Mailing address
6322 GARDEN OAKS DR, SHREVEPORT, LA 71129-3302
(479) 287-9764
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8925
LA
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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