Individual
MRS. TARA DECKER MAGEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.C.D., CCC-A
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 424-6090
(318) 429-5749
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 424-6090
(318) 429-5749
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
5126
LA
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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