Individual
MIA MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
16554 JEFFERSON OAKS DR, PRAIRIEVILLE, LA 70769-4173
(225) 978-8365
Mailing address
16554 JEFFERSON OAKS DR, PRAIRIEVILLE, LA 70769-4173
(225) 978-8365
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3786
LA
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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