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Individual

MRS. SHANNON M STACY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
3305 W END AVE, NASHVILLE, TN 37203-1035
(615) 386-4900
(618) 386-4999
Mailing address
1113 THORNBERRY DR, CLARKSVILLE, TN 37043-5631
(719) 210-9726

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0336441
CO

Other

Enumeration date
04/03/2007
Last updated
07/08/2007
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