Individual
JANICE STIDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 MONROE ST NW, RUSSELLVILLE, AL 35653-1358
(888) 873-4221
Mailing address
701 MONROE ST NW, RUSSELLVILLE, AL 35653-1358
(888) 873-4221
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1096
AL
Other
Enumeration date
06/24/2015
Last updated
06/24/2015
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