Individual
SHELBY STOGSDILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
590 MISSOURI AVE STE 204, JEFFERSONVILLE, IN 47130-3084
(812) 288-4688
Mailing address
590 MISSOURI AVE STE 204, JEFFERSONVILLE, IN 47130-3084
(812) 288-4688
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-47956
IN
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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