Individual
MICHELLE A SHUMATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
599 ROLLING HILL DR, LAKE CHARLES, LA 70611-5012
(337) 302-7075
Mailing address
599 ROLLING HILL DR, LAKE CHARLES, LA 70611-5012
(337) 302-7075
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6109
LA
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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