Individual
MS. WILL ELL ELIZABETH CHILDRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, SLP
Contact information
Practice address
1 TIGER DR, SLIDELL, LA 70458-2046
(985) 643-2992
Mailing address
404 SADIE AVE, METAIRIE, LA 70003-4844
(504) 453-8212
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8960
LA
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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