Individual
KIM SILVA PRIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19202 HECTOR ST, MANDEVILLE, LA 70471-6946
(985) 778-1337
Mailing address
19202 HECTOR ST, MANDEVILLE, LA 70471-6946
(985) 778-1337
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2501
LA
Other
Enumeration date
01/02/2010
Last updated
01/02/2010
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