Individual
MS. LAURA ELAINE DESOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1397 DEMUNDS RD, DALLAS, PA 18612-7713
(267) 261-6003
Mailing address
1397 DEMUNDS RD, DALLAS, PA 18612-7713
(267) 261-6003
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL014968
PA
Other
Enumeration date
01/27/2020
Last updated
01/28/2020
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