Individual
STACY GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
436 HOUSTON OAKS DR, PARIS, KY 40361-2704
(606) 584-1169
(606) 763-6245
Mailing address
142 LACKAWANNA RD, LEXINGTON, KY 40503-1914
(859) 599-3019
(859) 533-3019
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3175
KY
Other
Enumeration date
04/03/2007
Last updated
04/20/2020
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