Individual
JULIE MCCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2336 COURS CARSON ST, MANDEVILLE, LA 70448-6410
(337) 831-5999
Mailing address
2336 COURS CARSON ST, MANDEVILLE, LA 70448-6410
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6888
LA
Other
Enumeration date
07/24/2015
Last updated
07/24/2015
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