Individual
MRS. GWEN RUTH MILO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED. EDUCATION
Contact information
Practice address
3816 MERTENS ST, ALEXANDRIA, LA 71302-2248
(318) 445-8743
(318) 473-8142
Mailing address
3816 MERTENS ST, ALEXANDRIA, LA 71302-2248
(318) 445-8743
(318) 473-8142
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
788
LA
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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