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Individual

MRS. PATRICIA WEEMS HENDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., CCC/SLP

Contact information

Practice address
535 W ROOSEVELT ST, BATON ROUGE, LA 70802-7844
(225) 343-4232
Mailing address
535 W ROOSEVELT ST, BATON ROUGE, LA 70802-7844
(225) 343-4232

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1543
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1318264
LA
Enumeration date
07/13/2007
Last updated
07/26/2013
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