Individual
MISS JESSICA R WEBBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1961 MIDWAY ST, SHREVEPORT, LA 71108-2201
(318) 603-6300
Mailing address
1961 MIDWAY ST, SHREVEPORT, LA 71108-2201
(318) 603-6300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5014
LA
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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