Individual
ALLIE GILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2226 MURPHY ST, SHREVEPORT, LA 71103-2549
(318) 603-6700
Mailing address
504 STEPHENSON ST, SHREVEPORT, LA 71104-4430
(318) 393-4840
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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