Individual
JESSICA TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
470 W KENNEDY AVE, IOTA, LA 70543-6021
(337) 779-2581
Mailing address
2122 N PARKERSON AVE STE A, CROWLEY, LA 70526-2001
(337) 783-3668
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
7467
LA
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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