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Individual

PROF. JENNIFER MAGEE DOMENGEAUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
850 N PIERCE ST, SUITE A, LAFAYETTE, LA 70501-2848
(337) 261-9100
(337) 261-9700
Mailing address
850 N PIERCE ST, SUITE A, LAFAYETTE, LA 70501-2848
(337) 261-9100
(337) 261-9700

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4760
LA

Other

Enumeration date
01/25/2012
Last updated
01/25/2012
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