Individual
ANESIA WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2522 E 70TH ST, SHREVEPORT, LA 71105-4002
(318) 795-3388
Mailing address
112 HACKETT DR, MINDEN, LA 71055-2224
(318) 584-5473
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8710
LA
Other
Enumeration date
01/04/2021
Last updated
01/05/2021
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