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1972108694
MALLORI FEAZELL
PINEVILLE, LA
NPI
1972108694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: LA 7921)
Enumeration Date
2020-12-01
Last Update Date
2020-12-01
Business Address
MALLORI FEAZELL MS, CCC-SLP
5201 SHREVEPORT HWY
PINEVILLE, LA 71360-3527
Phone number: 318-640-3014
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Mailing Address
MALLORI FEAZELL MS, CCC-SLP
514 WYSTERIA LN
PINEVILLE, LA 71360-4252
Phone number: 318-792-6770
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