MRS. Stacy B Church, MCD CCC-SLP

NPI #1235490517 in Killen, Alabama

Provider Information

NPI Number
1235490517
Entity Type
Individual
Name
MRS. Stacy B Church, MCD CCC-SLP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Credential
MCD CCC-SLP
Enumeration Date
Jun 4, 2012
Last Updated
Jun 4, 2012

Practice Location

Address
100 SCHOOL LN
City
Killen
State
Alabama
ZIP Code
35645-9054
Phone
(256) 757-2171

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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