Individual
JENNIFER MARTIN CLOUTET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, CCC-SLP
Contact information
Practice address
8842 MCCAIN RD, SHREVEPORT, LA 71107-9245
(318) 205-4821
Mailing address
8842 MCCAIN RD, SHREVEPORT, LA 71107-9245
(318) 205-4821
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5647
LA
Other
Enumeration date
05/04/2020
Last updated
05/04/2020
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