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Individual

JESSICA LYNN ROUSSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
123 E 71ST ST, CUT OFF, LA 70345-3708
(985) 413-8127
Mailing address
123 E 71ST ST, CUT OFF, LA 70345-3708
(985) 413-8127

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
12/05/2025
Last updated
12/05/2025
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