Individual
MRS. JENNIFER JANE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
314 BROAD ST, SUITE B, LAKE CHARLES, LA 70601-4224
(337) 491-0800
Mailing address
115 GROVE ST, LAKE CHARLES, LA 70601-5940
(337) 540-7356
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6174
LA
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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