Individual
MR. EDWIN ALFRED STACIA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2421 RIDGEMONT HILL RD, CARY, NC 27513-8119
(832) 549-2924
Mailing address
2421 RIDGEMONT HILL RD, CARY, NC 27513-8119
(832) 549-2924
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8729
NC
Other
Enumeration date
03/18/2007
Last updated
06/10/2013
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