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1538546569
HEATHER RUTH NICHOLLS
SHREVEPORT, LA
NPI
1538546569
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: LA 6459)
Enumeration Date
2015-04-28
Last Update Date
2015-04-28
Business Address
-- HEATHER RUTH NICHOLLS SLP
191 BRUCE AVE
SHREVEPORT, LA 71105-3712
Phone number: 318-218-1339
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Mailing Address
-- HEATHER RUTH NICHOLLS SLP
191 BRUCE AVE
SHREVEPORT, LA 71105-3712
Phone number: 318-218-1339
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