Individual
JESSICA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3020 N UNIVERSITY AVE, LAFAYETTE, LA 70507-3132
(337) 521-7730
Mailing address
104 RUE DECEMBRE, SCOTT, LA 70583-4506
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7379
LA
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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