Individual
STACEY L. BURDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(608) 785-0940
Mailing address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(608) 785-0940
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3714
WI
Other
Enumeration date
12/19/2012
Last updated
12/19/2012
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