Individual
KRISTEN LEIGH MARDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2401 OLIVER RD, MONROE, LA 71201-2934
(318) 381-8520
Mailing address
2015 FRANCES PL, MONROE, LA 71201-2707
(318) 614-7549
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6626
LA
Other
Enumeration date
05/16/2012
Last updated
06/04/2024
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