Individual
MRS. SHANNON MARIE CARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CF-SLP
Contact information
Practice address
4405 AIRLINE DR, BOSSIER CITY, LA 71111-2058
(318) 638-9934
Mailing address
4832 CRESCENT DR, SHREVEPORT, LA 71106-1808
(580) 512-6511
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
NM
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/07/2020
Last updated
09/06/2023
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