Individual
MRS. JENNIFER BLOCK MASSETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
19 S DIVISION DR, COVINGTON, LA 70433-1107
(985) 809-5066
Mailing address
19 S DIVISION DR, COVINGTON, LA 70433-1107
(985) 809-5066
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5107
LA
Other
Enumeration date
04/16/2009
Last updated
04/16/2009
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