Individual
KASSI MCLAIN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
19037 MCLAIN RD, COVINGTON, LA 70435-8003
(985) 373-3604
Mailing address
19123 MCLAIN RD, COVINGTON, LA 70435-8026
(985) 373-3604
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6372
LA
Other
Enumeration date
04/22/2011
Last updated
05/08/2018
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