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Individual

JORDAN STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7932 SUMMA AVE, BATON ROUGE, LA 70809-3736
(225) 349-7171
Mailing address
1023 WAVERLY DR, BATON ROUGE, LA 70806-1914
(225) 362-4252

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
011749448
LA

Other

Enumeration date
11/19/2018
Last updated
11/19/2018
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