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1811481047
STACY L GREEN
BATON ROUGE, LA
NPI
1811481047
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-06-20
Last Update Date
2018-06-20
Business Address
STACY L GREEN
9150 BEREFORD DR
BATON ROUGE, LA 70809-2403
Phone number: 225-960-7689
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Mailing Address
STACY L GREEN
9150 BEREFORD DR
BATON ROUGE, LA 70809-2403
Phone number: 225-960-7689
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