Individual
STACEY ELIZABETH RAINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
201 8TH STREET, NE, WASHINGTON, DC 20002
(202) 544-5469
Mailing address
1221 MASSACHUSETTS AVE, NW APT 923, WASHINGTON, DC 20005
(202) 243-8750
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP000124
DC
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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