Individual
STACIE DUKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2133 SILVERSIDE DR STE F, BATON ROUGE, LA 70808-4179
(225) 250-5677
Mailing address
4194 BURBANK DR APT 108D, BATON ROUGE, LA 70808-6202
(678) 524-0502
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC005471
GA
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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