# STACY BORDEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1871993485
- **Gender:** F
- **Credential:** AU.D., CCC-A

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 23002638A | IN | Yes |
| 231H00000X | Audiologist | A. 01920 | OH | — |

## Other

- **Enumeration date:** 09/02/2014
- **Last updated:** 05/12/2021