Individual
STACEY MUSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3482 MCCLURE AVE, STE. 150, WEST LAFAYETTE, IN 47906-4164
(765) 838-3547
Mailing address
3482 MCCLURE AVE, STE. 150, WEST LAFAYETTE, IN 47906-4164
(765) 838-3547
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-10380
IN
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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