Individual
STACY WINBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
829 E GEORGIA AVE STE 3, RUSTON, LA 71270-3901
(318) 242-0730
Mailing address
829 E GEORGIA AVE STE 3, RUSTON, LA 71270-3901
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/06/2015
Last updated
11/06/2015
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