Individual
DENNI LEVI-PAULK HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7112 US HWY 165, COLUMBIA, LA 71418
(318) 649-2689
(318) 649-6184
Mailing address
7112 US HWY 165, COLUMBIA, LA 71418
(318) 649-2689
(318) 649-6184
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9168
LA
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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