Individual
AHKEYLAH INEZ STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1610 KANE ST, LA CROSSE, WI 54603-2263
(608) 389-4110
Mailing address
1610 KANE ST, LA CROSSE, WI 54603-2263
(608) 389-4110
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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