Individual
AVERY THOMAS MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3501 5TH AVE STE A, LAKE CHARLES, LA 70607-2155
(337) 419-0086
Mailing address
5035 BONIN DR, SULPHUR, LA 70663-6542
(337) 491-0086
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8328
LA
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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