Individual
ASHLEY STOUDEMIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16835 DEER CREEK DR STE 200, SPRING, TX 77379-4895
(281) 379-4373
Mailing address
16835 DEER CREEK DR STE 200, SPRING, TX 77379-4895
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
22-212302
TX
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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