Individual
MRS. DANA LYNN CHARBONNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD/CCC-SLP
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
2305 BROOKHAVEN DR, BOSSIER CITY, LA 71111-5714
(318) 747-9959
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5305
LA
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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