Individual
MISS LEAH LANETTE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCDCCC/SLP
Contact information
Practice address
1105 ISLAND PARK BLVD, SHREVEPORT, LA 71105-4741
(318) 210-5711
Mailing address
1105 ISLAND PARK BLVD, SHREVEPORT, LA 71105-4741
(318) 210-5711
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5547
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5547
SPEECH-LANGUAGE PATHOLOGY
LA
Enumeration date
04/16/2008
Last updated
04/16/2008
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