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Organization

STACY'S SPEECH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STACY LYNN BURNETT M.A. CCC/SLP (SPEECH-LANGUAGE PATHOLOGIST)
(606) 438-5431
Entity
Organization

Contact information

Practice address
2495 HWY 899, MALLIE, KY 41836
(606) 438-5431
Mailing address
PO BOX 1145, HINDMAN, KY 41822-1145
(606) 438-5431

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
05/03/2022
Last updated
05/03/2022
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