Individual
JESSIE FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
621 BAYOU DULARGE RD, HOUMA, LA 70363-7608
(985) 303-4809
Mailing address
201 STADIUM DR, HOUMA, LA 70360-2732
(985) 876-7400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9456
LA
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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