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Individual
STACEY S DENNARD
Active
Individual
STACEY S DENNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14892
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005783802
—
TX
01
—
A023
TRICARE NUMBER
TX
Enumeration date
12/04/2006
Last updated
07/06/2022
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