Individual
MISS ALLYCEN R STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, SLP
Contact information
Practice address
108 N WALNUT ST, INMAN, KS 67546-8016
(620) 585-6411
(620) 585-6504
Mailing address
628 OXFORD DR, MCPHERSON, KS 67460-1700
(785) 650-1083
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2934
KS
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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