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Individual

DR. STACI GUIDRY LENOX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D

Contact information

Practice address
4212 W. CONGRESS ST., SUITE 3500, LAFAYETTE, LA 70506
(337) 235-8304
(337) 235-5924
Mailing address
4212 W. CONGRESS ST., SUITE 3500, LAFAYETTE, LA 70506
(337) 235-8304
(337) 235-5924

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
746
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1682535
LA
Enumeration date
03/18/2007
Last updated
03/28/2019
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