Individual
BARBARA STACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7010 GLEN CREEK DR SE, CALEDONIA, MI 49316-7903
(616) 554-6483
Mailing address
7010 GLEN CREEK DR SE, CALEDONIA, MI 49316-7903
(616) 554-6483
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101001595
MI
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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