Individual
STACEY ALANNA WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
573 WESTHAVEN BLVD, BATON ROUGE, LA 70810-6415
(225) 916-6554
Mailing address
573 WESTHAVEN BLVD, BATON ROUGE, LA 70810-6415
(225) 916-6554
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
SW861086
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW861086
PRIVATE PRACTICE
LA
Enumeration date
04/21/2021
Last updated
04/21/2021
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