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Organization
ICEBERG THERAPY SERVICES LLC
Active
Organization
ICEBERG THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CORIE PHD, CCC-SLP (OWNER/SPEECH LANGAUGE PATHOLOGIST)
(225) 277-3442
Entity
Organization
Contact information
Practice address
172 LEE DR STE 485, BATON ROUGE, LA 70808-5088
(225) 277-3442
Mailing address
7350 JEFFERSON HWY, SUITE 485 #231, BATON ROUGE, LA 70806
(225) 277-3442
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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