Individual
KASSIE WILLIS AUGUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
2002 JOHNSON ST, SUITE 100, JENNINGS, LA 70546-3640
(337) 824-4547
(337) 845-4548
Mailing address
PO BOX 1096, JENNINGS, LA 70546-1096
(337) 824-4547
(337) 824-4548
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5779
LA
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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