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Individual

STACY L. COOPER LUCIDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED. CCC-SLP

Contact information

Practice address
500 CUMMINGS CTR, SUITE 3850, BEVERLY, MA 01915-6142
(978) 232-0332
(978) 232-1103
Mailing address
13 SUNSET DR, BEVERLY, MA 01915-2319

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4438
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0709379
MA
01
SP0184
BLUE CROSS
MA
Enumeration date
01/18/2007
Last updated
07/31/2008
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