Individual
MARY TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2519 RYAN ST, LAKE CHARLES, LA 70601-7323
(337) 491-0800
Mailing address
828 VILLAGE LN, LAKE CHARLES, LA 70605-0463
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7135
LA
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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