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Individual

SUSAN GREMILLION WEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MED

Contact information

Practice address
4515 EDDIE WILLIAMS AVE., ALEXANDRIA, LA 71302-3628
(318) 443-4572
(318) 473-0356
Mailing address
4515 EDDIE WILLIAMS AVE., ALEXANDRIA, LA 71302-3628
(318) 443-4572
(318) 473-0356

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2372
LA

Other

Enumeration date
02/22/2022
Last updated
02/22/2022
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