Individual
MANDY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 RIVER RD, MARRERO, LA 70072-1943
(504) 349-7929
Mailing address
4600 RIVER RD, MARRERO, LA 70072-1943
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7866
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1701033
—
LA
Enumeration date
07/13/2022
Last updated
07/13/2022
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