Individual
EVELYN GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
702 PROFESSIONAL DR N, SHREVEPORT, LA 71105-5600
(318) 746-1199
Mailing address
301 LEVIN LN, SHREVEPORT, LA 71105-4713
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9604
LA
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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