Individual
CONSUELA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3170 CHURCH ST, SLAUGHTER, LA 70777-3219
(225) 654-4527
Mailing address
9255 HIGHLAND OAKS AVE, ZACHARY, LA 70791-7451
(225) 953-2786
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
5987
LA
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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