Individual
ANDREA PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
(318) 724-6029
Mailing address
191 DEMOSS LN, WINNSBORO, LA 71295-5427
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6476
LA
Other
Enumeration date
09/21/2011
Last updated
02/02/2018
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