Individual
MRS. STACIE CUNNINGHAM SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
2469 WOODFIELD CIRCLE, LEXINGTON, KY 40515
(859) 273-8514
Mailing address
2469 WOODFIELD CIRCLE, LEXINGTON, KY 40515
(859) 273-8514
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2398
KY
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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