Individual
MS. STACY GAYLE BURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
5050 RESEARCH COURT, STE. 800, SUWANEE, GA 30024
(770) 205-5551
Mailing address
4870 LA MOYNE LANE, ALPHARETTA, GA 30022
(404) 641-5091
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
14065097
GA
235Z00000X
Speech-Language Pathologist
Primary
SLP008054
GA
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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