Individual
KENDRA STUCKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1318 E HIGH ST, BRYAN, OH 43506-8407
(567) 239-1687
Mailing address
218 S FRANKLIN ST, WAUSEON, OH 43567-1437
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16434
OH
Other
Enumeration date
06/05/2025
Last updated
07/09/2025
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