Individual
MIRIAM CARMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 CHRISTIAN DR, RAYVILLE, LA 71269-3645
(318) 728-4088
(318) 728-4124
Mailing address
130 LAURELI LN, WEST MONROE, LA 71292-1302
(318) 361-3969
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3531
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1307475
—
LA
Enumeration date
08/30/2006
Last updated
07/09/2007
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