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General NPI Number Information
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NPI Number | 1710305974
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Entity Type | Organization
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Legal Business Name | WILLIAMS CONSULTANT SLP DBA SIMPLY SLP LLC
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Dates
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Enumeration Date | 04/03/2014
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 442 LONG ACRE DR
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City | BOSSIER CITY
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State | LA
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Zip | 71111-8229
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Country | US
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Telephone | 131-835-5698
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Fax |
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Provider Business Mailing Address
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Address Line | 3205 CYPRESS VILLAGE DRIVE
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City | BENTON
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State | LA
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Zip | 71006
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAWN D GUICE
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Credential | ED.D,CCC-SLP
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Telephone | 318-355-6983
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 6201
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License Number State | LA
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