Individual
MRS. JILL FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC/SLP
Contact information
Practice address
2122 AIRLINE DR STE 200, BOSSIER CITY, LA 71111-3270
(318) 828-1450
(318) 828-2697
Mailing address
7607 FERN AVE STE 704, SHREVEPORT, LA 71105-5744
(318) 828-1450
(318) 828-2697
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3337
LA
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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