Individual
MISTY CHEEK FALTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 BITTERSWEET AVE, RUSTON, LA 71270-2036
(318) 497-1483
Mailing address
410 S FARMERVILLE ST, RUSTON, LA 71270-4655
(318) 497-1483
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5811
LA
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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