Individual
MRS. JEANNIE CANTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
2522 E 70TH ST, SHREVEPORT, LA 71105-4002
(318) 795-3388
Mailing address
469 SHENANDOAH DR, SHREVEPORT, LA 71115-3741
(318) 218-8928
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4098
LA
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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