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Individual

JEANNE MARIE RUSSELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
325 S JACKSON ST, COVINGTON, LA 70433-3009
(985) 892-4311
Mailing address
65 N DOGWOOD DR, COVINGTON, LA 70433-9172
(985) 373-3616

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3675
LA

Other

Enumeration date
03/15/2022
Last updated
03/15/2022
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