Individual
MISS KENDAL MICHELLE COLE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 ISLAND PARK BLVD, #207, SHREVEPORT, LA 71105-4741
(318) 245-6812
Mailing address
1105 ISLAND PARK BLVD, #207, SHREVEPORT, LA 71105-4741
(318) 245-6812
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5614
LA
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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