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Individual
MRS. STACEY NADINE DENAFO
Active
Individual
MRS. STACEY NADINE DENAFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
YS03200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10654772
CAQH
—
01
—
1669747549
NPI TYPE II
—
Enumeration date
11/28/2011
Last updated
05/18/2012
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