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Individual
STACY L PASSMORE
Active
Individual
STACY L PASSMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
023699
NY
235Z00000X
Speech-Language Pathologist
Primary
10821
NC
235Z00000X
Speech-Language Pathologist
SLP.0000806
CO
Other
Enumeration date
05/19/2014
Last updated
07/02/2014
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