Individual
MAILE WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
695 PETERSON ST, MANY, LA 71449-2647
(318) 256-9228
Mailing address
333 WESLEY CROWELL RD, LEESVILLE, LA 71446-8198
(337) 397-5510
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7162
LA
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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