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1295878551
TERRI LANE RIVERS
SHREVEPORT, LA
NPI
1295878551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: LA 5527)
Enumeration Date
2007-02-15
Last Update Date
2007-07-08
Business Address
-- TERRI LANE RIVERS M.C.D. CCC-SLP
2205 E 70TH ST STE 102
SHREVEPORT, LA 71105-5308
Phone number: 318-795-3388
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Mailing Address
-- TERRI LANE RIVERS M.C.D. CCC-SLP
10556 MALLARD DR
KEITHVILLE, LA 71047-8151
Phone number: 318-925-3389
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