Individual
JANE D UPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3347 MASONIC DR, ALEXANDRIA, LA 71301-3842
(318) 443-3311
Mailing address
3347 MASONIC DR, ALEXANDRIA, LA 71301-3842
(318) 443-3311
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2408
LA
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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