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Individual
STACIE BENNETT
Active
Individual
STACIE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202012689
VA
235Z00000X
Speech-Language Pathologist
Primary
2203000974
VA
235Z00000X
Speech-Language Pathologist
41YS00655500
NJ
Other
Enumeration date
06/21/2012
Last updated
08/31/2026
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