STACIE R CROUCH

SHREVEPORT, LA
NPI1396822789
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: LA  101YM0800)
Enumeration Date2006-11-01
Last Update Date2007-07-08
Business Address
-- STACIE R CROUCH M.A, LPC, LMFT
1525 STEPHENS AVE
SHREVEPORT, LA 71101-4705
Phone number: 318-221-6121
Mailing Address
-- STACIE R CROUCH M.A, LPC, LMFT
9610 BALSA DR
SHREVEPORT, LA 71115-3179
Phone number: 318-798-2198
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