Individual
MS. MARY PETERSON MARCHAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
415 MAYFAIR DR, BOSSIER CITY, LA 71111-2223
(318) 216-6125
Mailing address
415 MAYFAIR DR, BOSSIER CITY, LA 71111-2223
(318) 216-6125
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
107837
TX
235Z00000X
Speech-Language Pathologist
Primary
2948
LA
Other
Enumeration date
06/21/2012
Last updated
06/22/2012
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