Individual
LACEY JEANSONNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
7408 LA-1, MANSURA, LA 71350
(318) 964-2198
Mailing address
7408 LA-1, MANSURA, LA 71350
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7111
LA
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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