Individual
CAROLINE STACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1326 CHESTNUT ST, PHILADELPHIA, PA 19107-4525
(888) 701-3131
Mailing address
850 TOWBIN AVE, LAKEWOOD, NJ 08701-5928
(888) 701-3131
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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