Individual
BRANDI WAILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, SLP
Contact information
Practice address
2100 INDUSTRIAL BLVD, HOUMA, LA 70363-7045
(985) 876-5322
(985) 876-5387
Mailing address
2100 INDUSTRIAL BLVD, HOUMA, LA 70363
(985) 876-5322
(985) 876-5387
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6259
LA
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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