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Individual

JOURDAN STAUFFER WACTOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. CCC-SLP

Contact information

Practice address
706 W 28TH AVE, COVINGTON, LA 70433-1466
(985) 898-3311
Mailing address
308 SEABISCUIT LOOP N, MADISONVILLE, LA 70447-3510
(504) 236-2290

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7073
LA

Other

Enumeration date
03/11/2022
Last updated
03/11/2022
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