Individual
MRS. STACEY ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
283 RED HAWK WAY, DALLAS, GA 30132-1149
(561) 801-3148
(678) 401-6655
Mailing address
283 RED HAWK WAY, DALLAS, GA 30132-1149
(561) 801-3148
(678) 401-6655
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006614
GA
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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