Stacey Whittemore, LCSW

NPI 1952618241 · on the registry since 2010 · sole proprietor

Practice

Address: 1125 Paul Maillard Rd
Luling, LA 70070
Phone: (985) 727-4075
Fax: (954) 885-9444
Organisation at this address: Premier Rehab
Luling Living Center
Grace Healthcare Management, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: LA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2010-09-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana