Individual
STACY LYNETTE GILDEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
7911 S 7TH ST, KALAMAZOO, MI 49009
(269) 743-7394
Mailing address
7911 S 7TH ST, KALAMAZOO, MI 49009
(269) 743-7394
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
L2541743
MI
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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