KASSIE WILLIS AUGUSTIN

JENNINGS, LA
NPI1912135906
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: LA  5779)
Enumeration Date2009-06-29
Last Update Date2009-06-29
Business Address
-- KASSIE WILLIS AUGUSTIN ST
2002 JOHNSON ST SUITE 100
JENNINGS, LA 70546-3640
Phone number: 337-824-4547
Mailing Address
-- KASSIE WILLIS AUGUSTIN ST
PO BOX 1096
JENNINGS, LA 70546-1096
Phone number: 337-824-4547
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