Individual
MARQUITA ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12121 TAMS DR, BATON ROUGE, LA 70815-2654
(251) 767-4988
Mailing address
1050 S FOSTER DR, BATON ROUGE, LA 70806-7221
(225) 922-5400
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
7480
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EIN
—
LA
Enumeration date
10/11/2023
Last updated
10/17/2023
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