Provider First Line Business Practice Location Address:
255 W FLORIDA ST
Provider Second Line Business Practice Location Address:
SUITE 200 JEFFERSON SPEECH & LANGUAGE CENTER OF ST TAMM
Provider Business Practice Location Address City Name:
MANDERVILLE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70448
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
985-626-8403
Provider Business Practice Location Address Fax Number:
985-727-9871
Provider Enumeration Date:
05/23/2007