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Individual

JENNIFER SEWARD WHITED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
JENNIFER WHITED

Contact information

Practice address
810 LAKESIDE DR, MONROE, LA 71203-2917
(337) 207-7997
Mailing address
810 LAKESIDE DR, MONROE, LA 71203-2917
(337) 207-7997

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5791
LA

Other

Enumeration date
01/13/2011
Last updated
01/13/2011
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