Individual
KELLY LEN GLAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 N 7TH ST, WEST MONROE, LA 71291-4410
(318) 432-5000
Mailing address
1600 N 7TH ST, WEST MONROE, LA 71291-4410
(318) 432-5000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9948
LA
Other
Enumeration date
08/07/2026
Last updated
08/07/2026
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