Individual
MRS. MAIJA LISA BLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 W 3RD ST, DERIDDER, LA 70634-4026
(936) 671-9162
Mailing address
202 W 3RD ST, DERIDDER, LA 70634-4026
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5979
LA
Other
Enumeration date
07/06/2009
Last updated
06/08/2022
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