Individual
MS. JACKIE ANN LIRETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
452 CHRISTOPHER DR, HOUMA, LA 70364-1233
(985) 791-7034
Mailing address
452 CHRISTOPHER DR, HOUMA, LA 70364-1233
(985) 791-7034
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4331
LA
Other
Enumeration date
01/09/2014
Last updated
01/09/2014
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