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Individual

JACIE CAMRYN STOGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4202 N I-10 SERVICE RD W, METAIRIE, LA 70006
(985) 415-6562
Mailing address
350 FAIRWAY DR STE 101, DEERFIELD BEACH, FL 33441-1834
(985) 415-6562

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
LA

Other

Enumeration date
09/23/2025
Last updated
09/23/2025
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