Individual
STACIA G CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
7620 METCALF AVE, SUITE M, OVERLAND PARK, KS 66204-2928
(913) 383-9014
Mailing address
721 CORRINGTON DR, RAYMORE, MO 64083-8271
(816) 322-6426
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2006026271
MO
235Z00000X
Speech-Language Pathologist
Primary
2671
KS
Other
Enumeration date
12/08/2008
Last updated
12/08/2008
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