Individual
MRS. KRISTI DICKERSON O'DELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A, CCC-CCC, SLP
Contact information
Practice address
8313 WOODMILL DR, SHREVEPORT, LA 71107-8161
(318) 929-3886
Mailing address
8313 WOODMILL DR, SHREVEPORT, LA 71107-8161
(318) 929-3886
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3772
LA
Other
Enumeration date
05/18/2010
Last updated
05/18/2010
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