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1134349079
DIEDRE DANIELS
SHREVEPORT, LA
NPI
1134349079
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Other Name
DEE DANIELS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 102615)
Enumeration Date
2007-04-25
Last Update Date
2021-12-17
Business Address
DIEDRE DANIELS CCC-SLP
7330 FERN AVE STE 503
SHREVEPORT, LA 71105-4983
Phone number: 866-730-0707
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Mailing Address
DIEDRE DANIELS CCC-SLP
2602 ZODIAC DR
GARLAND, TX 75044-6646
Phone number:
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