Individual
STACY BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 CITY VIEW DRIVE, EVANSTON, WY 82930
(307) 789-7384
Mailing address
148 GREGORY AVE., EVANSTON, WY 82930
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-414
WY
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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