Individual
MRS. KENYA LEIGH SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC SLP
Contact information
Practice address
463 ASHLEY RIDGE BLVD, SHREVEPORT, LA 71106-7231
(318) 671-8772
Mailing address
120 ARCHER AVE, SHREVEPORT, LA 71105-2106
(318) 347-2458
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
100535
TX
235Z00000X
Speech-Language Pathologist
Primary
5852
LA
235Z00000X
Speech-Language Pathologist
6719
MA
Other
Enumeration date
03/22/2007
Last updated
01/26/2010
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