Individual
GINA MONICA WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
108 AVALON PL, HAHNVILLE, LA 70057-2014
(504) 442-0353
Mailing address
108 AVALON PL, HAHNVILLE, LA 70057-2014
(504) 442-0353
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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