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Individual
STACEY MENTON
Active
Individual
STACEY MENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MM
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA13930
FL
Other
Enumeration date
03/07/2014
Last updated
10/12/2020
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