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1023766391
JEANNE MARIE RUSSELL
COVINGTON, LA
NPI
1023766391
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: LA 3675)
Enumeration Date
2022-03-15
Last Update Date
2022-03-15
Business Address
JEANNE MARIE RUSSELL
325 S JACKSON ST
COVINGTON, LA 70433-3009
Phone number: 985-892-4311
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Mailing Address
JEANNE MARIE RUSSELL
65 N DOGWOOD DR
COVINGTON, LA 70433-9172
Phone number: 985-373-3616
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