Individual
JENNA MICHELLE WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1456 GARDENA DR, NEW ORLEANS, LA 70122-1914
(504) 373-6267
Mailing address
109 HICKORY LN, MONROE, LA 71203-2222
(318) 237-6332
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9955
LA
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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