Most Relevant Information
Provider Data
NPI Number: | 1003341371 |
Provider Name: | A'LYECIA RUTH STILLS RSW |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 04/25/2017 |
Last Updated: | 06/19/2024 |
Provider Practice Location
9403 MANSFIELD RD
SHREVEPORT
LA
711183815
Practice Location Phone/Fax
Phone: | 3188618938 |
Fax: |
Provider Mailing Location
8140 BEST DR
SHREVEPORT
LA
711294332
Provider Mailing Phone/Fax
Phone: | 3189365741 |
Fax: |