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Individual

MRS. TIFFANY DEANNE HAWKINS-HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
1510 ELM ST, BASTROP, LA 71220-5915
(225) 588-7505
(833) 466-1805
Mailing address
1510 ELM ST, BASTROP, LA 71220-5915
(225) 273-9708
(318) 641-2301

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
4627
LA
373H00000X
Day Training/Habilitation Specialist
Primary
12103667
LA

Other

Enumeration date
03/21/2007
Last updated
08/01/2024
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