GRACIE LANE MAXWELL

BOSSIER CITY, LA
NPI1891410544
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: LA  9113)
Enumeration Date2022-10-05
Last Update Date2022-10-05
Business Address
GRACIE LANE MAXWELL
4350 VIKING LOOP STE 1
BOSSIER CITY, LA 71111-7421
Phone number: 318-746-1199
Mailing Address
GRACIE LANE MAXWELL
2940 LE OAKS DR APT 1513
BOSSIER CITY, LA 71111-7840
Phone number:
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