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Individual
MRS. STACEY LYNNETTE WOODS
Active
Individual
MRS. STACEY LYNNETTE WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-A
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
0323
KY
235Z00000X
Speech-Language Pathologist
0323
KY
237700000X
Hearing Instrument Specialist
0729
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23002176A
IN AUDIOGOLIST
IN
01
—
KY 0729
KY SPEC. HEARING INSTRUME
KY
01
—
KY0323
KY PATHOLOGY/AUDIOLOGIST
KY
Enumeration date
11/01/2006
Last updated
04/27/2018
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