Individual
MRS. ADDOREE STUCKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1513 LINE AVE, 315, SHREVEPORT, LA 71101
(318) 245-3906
(318) 245-3906
Mailing address
304 JACKSON ST, NATCHITOCHES, LA 71457-6017
(318) 354-2146
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/12/2016
Last updated
05/18/2018
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