Individual
KARIN MORAN BURVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
648 CRESTWOOD DR, COVINGTON, LA 70433
(985) 900-2305
Mailing address
PO BOX 1609, CHALMETTE, LA 70044-1609
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4646
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4646
LIC NUMBER
LA
Enumeration date
11/13/2019
Last updated
11/19/2019
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