Individual
MRS. SANDRA SHORT CORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
300 PINEWOOD DR, CROWLEY, LA 70526-8334
(337) 783-1833
Mailing address
300 PINEWOOD DR, CROWLEY, LA 70526-8334
(337) 783-1833
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
483 SLP
LA
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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