Individual
MANDI GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 RUE VERAND, SLIDELL, LA 70458-2147
(985) 643-0674
Mailing address
113 NORTHAM DR, SLIDELL, LA 70458-1742
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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