Individual
KEESCHA HADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 GUILLOT RD, YOUNGSVILLE, LA 70592-5832
(337) 856-1964
Mailing address
PO BOX 23, YOUNGSVILLE, LA 70592-0023
(337) 856-1964
(337) 856-5272
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4669
LA
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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