Individual
STACIE LURA ANN KOGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5031 S ULSTER ST APT 1530, DENVER, CO 80237-2436
(317) 501-7225
Mailing address
5031 S ULSTER ST APT 1530, DENVER, CO 80237-2436
(317) 501-7225
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
09/21/2023
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