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1700334224
JAYDE LONG
WEST MONROE, LA
NPI
1700334224
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: LA 7730)
Enumeration Date
2016-09-13
Last Update Date
2016-09-13
Business Address
-- JAYDE LONG SLP
107 SUMMER LN
WEST MONROE, LA 71291-3501
Phone number: 318-396-1969
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Mailing Address
-- JAYDE LONG SLP
107 SUMMER LN
WEST MONROE, LA 71291-3501
Phone number: 318-396-1969
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