Individual
ELVA SEPULVADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD,CCC-SLP
Contact information
Practice address
75 MADISON AVE, MANY, LA 71449-5774
(318) 256-8067
Mailing address
75 MADISON AVE, MANY, LA 71449-5774
(318) 256-8067
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5486
LA
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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