Individual
JESSICA WEICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
24265 CANE BYU, LACOMBE, LA 70445-6125
(985) 869-4183
Mailing address
132 BUTTERNUT LN, MANDEVILLE, LA 70448-1096
(985) 674-0357
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5940
LA
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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