Individual
LAURA DELEAN STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
158 REGAL ROW, HOUMA, LA 70360-6097
(985) 791-8525
Mailing address
158 REGAL ROW, HOUMA, LA 70360-6097
(985) 791-8525
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
LA
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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