Individual
MRS. KATIE WALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
13700 HIGHWAY 40, FOLSOM, LA 70437-5022
(985) 796-5548
Mailing address
13700 HIGHWAY 40, FOLSOM, LA 70437-5022
(985) 796-5548
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5984
LA
Other
Enumeration date
06/28/2010
Last updated
08/10/2022
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