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Individual

MS. MARTHA DART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MCD, CCC-SLP

Contact information

Practice address
21 INDUSTRIAL PARK BLVD BLDG A, PONCHATOULA, LA 70454-8303
(720) 423-3200
Mailing address
2210 RUE WELLER, MANDEVILLE, LA 70448-2347
(985) 789-3101

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
24433927
CO
235Z00000X
Speech-Language Pathologist
Primary
9695
LA

Other

Enumeration date
01/08/2024
Last updated
07/22/2024
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