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Individual
MR. LONNIE EA STUCKEY JR.
Active
Individual
MR. LONNIE EA STUCKEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HEALTH COACH, QMHS
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
04/21/2025
Last updated
03/20/2026
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