Individual
KAYLA GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 E PRIEN LAKE RD, SUITE 1, LAKE CHARLES, LA 70601-0400
(337) 478-5880
(337) 478-5879
Mailing address
2619 EVA LN, LAKE CHARLES, LA 70607-7648
(337) 540-4522
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7205
LA
Other
Enumeration date
06/24/2015
Last updated
08/28/2022
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