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Individual

MRS. JENNIE STEWART WELDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
56478 RUBY RD, LORANGER, LA 70446-2725
(985) 517-8405
Mailing address
56478 RUBY RD, LORANGER, LA 70446-2725
(985) 517-8405

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8054
LA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
01/11/2018
Last updated
03/16/2021
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