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Individual

MR. STEFFIN A BEASLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, CCC/SLP

Contact information

Practice address
100 KIANA CT APT A, PADUCAH, KY 42001-6767
(270) 443-0681
(270) 442-7948
Mailing address
100 KIANA CT APT A, PADUCAH, KY 42001-6767
(270) 443-0681
(270) 442-7948

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
141222
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
141222
KENTUCKY STATE LICENSE
KY
Enumeration date
10/15/2019
Last updated
10/15/2019
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