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1386392199
JOURDAN STAUFFER WACTOR
COVINGTON, LA
NPI
1386392199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: LA 7073)
Enumeration Date
2022-03-11
Last Update Date
2022-03-11
Business Address
JOURDAN STAUFFER WACTOR M.S. CCC-SLP
706 W 28TH AVE
COVINGTON, LA 70433-1466
Phone number: 985-898-3311
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Mailing Address
JOURDAN STAUFFER WACTOR M.S. CCC-SLP
308 SEABISCUIT LOOP N
MADISONVILLE, LA 70447-3510
Phone number: 504-236-2290
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