Individual
AUDREA JASZKOWIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 GERSTNER MEMORIAL BLVD, LAKE CHARLES, LA 70607-3231
(205) 771-9942
Mailing address
PO BOX 7530, BEAUMONT, TX 77726-7530
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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