Individual
IRIS G. KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1725 FELTON ST, BAKER, LA 70714-2066
(225) 610-9390
Mailing address
1725 FELTON ST, BAKER, LA 70714-2066
(225) 610-9390
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3763
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005189259
—
LA
Enumeration date
08/08/2022
Last updated
08/08/2022
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