Individual
MRS. STACY MARIE GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS., SLP
Contact information
Practice address
404 WEST WILLOW RD, DALE, IN 47523
(812) 937-4489
(812) 937-2260
Mailing address
1770 WOODLAND HILLS DR W, SEMMES, AL 36575-7491
(251) 645-2392
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46001709A
IN
Other
Enumeration date
07/06/2007
Last updated
07/08/2007
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