Individual
MRS. SOPHIE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
8128 FLORIDA BLVD, DENHAM SPRINGS, LA 70726-7865
(225) 791-8666
Mailing address
8128 FLORIDA BLVD, DENHAM SPRINGS, LA 70726-7865
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7987
LA
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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