Individual
JAMIE KAY LEBOUTILLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4022
(504) 842-0474
Mailing address
817 E WILLIAM DAVID PKWY, METAIRIE, LA 70005-1632
(504) 256-6392
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6188
LA
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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