Individual
LAURA ANNETTE STELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RLT
Contact information
Practice address
813 BON AMI ST, DERIDDER, LA 70634-5529
(337) 466-9047
(318) 641-6118
Mailing address
2036 JACKSON ST, ALEXANDRIA, LA 71301-6439
(318) 641-0444
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
R-7595
LA
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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