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Organization
STACEY BUSBOOM SPEECH THERAPY LLC
Active
Organization
STACEY BUSBOOM SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY ANN BUSBOOM CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(770) 625-0029
Entity
Organization
Contact information
Practice address
4535 CHANDLER CT, MONROE, GA 30656-3688
(770) 625-0029
Mailing address
4535 CHANDLER CT, MONROE, GA 30656-3688
(770) 625-0029
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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