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Individual

BRENNA D STAMM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
405 W MAIN ST, OWINGSVILLE, KY 40360-2062
(606) 647-6314
Mailing address
PO BOX 777, OWINGSVILLE, KY 40360-0777

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1408
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00767
FIRST STEPS SPEECH PATH
KY
01
1092442
ASHA LICENSE
KY
01
3010
ST CLAIRE SPEECH PATH
KY
05
GN 108
KY
Enumeration date
05/08/2007
Last updated
07/09/2007
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