Individual
KELLY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 PLANTATION RD, DESTREHAN, LA 70047-3015
(985) 764-1275
Mailing address
117 JUDY CT, MONTZ, LA 70068-7607
(504) 913-2132
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5992
LA
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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