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Individual
STACY GOLDBERG
Active
Individual
STACY GOLDBERG
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
SL007396
PA
235Z00000X
Speech-Language Pathologist
Primary
SP.10732
OH
Other
Enumeration date
11/12/2010
Last updated
04/25/2013
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