Individual
HEATHER L SPROLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11948 MARGARET LN, PORT ALLEN, LA 70767-4669
(122) 562-0760
Mailing address
11948 MARGARET LN, PORT ALLEN, LA 70767-4669
(122) 562-0760
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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