Individual
MISS EMMA GRACE SUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 CENTRE SARCELLE BLVD STE 201, YOUNGSVILLE, LA 70592-6755
(133) 785-7367
Mailing address
812 W 6TH ST, KAPLAN, LA 70548-3108
(337) 382-4911
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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