Individual
JANAE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
103 EMERALD DR APT 214, MINDEN, LA 71055-2109
(318) 773-0285
Mailing address
103 EMERALD DR APT 214, MINDEN, LA 71055-2109
(318) 773-0285
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
LA
Other
Enumeration date
09/19/2021
Last updated
09/19/2021
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