Individual
KATIE C MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
321 N THEARD ST, COVINGTON, LA 70433-2835
(985) 892-2276
Mailing address
321 N THEARD ST, COVINGTON, LA 70433-2835
(985) 892-2276
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6959
LA
Other
Enumeration date
08/27/2014
Last updated
08/01/2022
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