Individual
MISS STACY SUSANNE NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW,GSW
Contact information
Practice address
2495 SHREVEPORT HWY 71 NORTH, ALEXANDRIA, LA 71306
(318) 466-2260
Mailing address
PO BOX 69004, 2495 SHREVEPORT HWY 71 NORTH, ALEXANDRIA, LA 71306-9004
(318) 466-2260
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5343
LA
Other
Enumeration date
12/22/2008
Last updated
12/22/2008
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