Individual
MRS. MARYANNA DARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
82 BAYOU RD, RAYVILLE, LA 71269-6521
(318) 235-8644
Mailing address
82 BAYOU RD, RAYVILLE, LA 71269-6521
(318) 235-8644
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8601
LA
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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