Individual
STACY MARIE GAUGLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
351 TENNY ST, BLOOMSBURG, PA 17815-3264
(570) 802-3099
Mailing address
1009 FORT AUGUSTA AVE, SUNBURY, PA 17801-1115
(570) 415-5076
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/13/2021
Last updated
06/13/2021
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