Individual
MRS. KIMBERLY ANN STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.C.D., CCC-SLP
Contact information
Practice address
2114 STARLING DR, BOSSIER CITY, LA 71111-5658
(318) 746-7658
Mailing address
2114 STARLING DR, BOSSIER CITY, LA 71111-5658
(318) 746-7658
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4054
LA
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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