Individual
STEPHANIE H JUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1876 W MAIN ST, LUTCHER, LA 70071-5120
(225) 398-6883
(225) 258-8114
Mailing address
PO BOX 338, LUTCHER, LA 70071-0338
(225) 398-6883
(225) 258-8114
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9386
LA
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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