Individual
JEWEL DELEVEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
6464 SEDGEFORD DR, LAKELAND, FL 33811-1833
(689) 209-4907
Mailing address
6464 SEDGEFORD DR, LAKELAND, FL 33811-1833
(689) 209-4907
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
0312
NH
2355S0801X
Speech-Language Assistant
Primary
SAH-2023-0051
NM
2355S0801X
Speech-Language Assistant
SI6376
FL
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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