Individual
MIRIAM RICHMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
187 NINTH ST, JENA, LA 71342-3900
(318) 992-9243
Mailing address
204 JOE BOB LN, GRAYSON, LA 71435-3661
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5134
LA
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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