Individual
STACEY MROCZKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 SOMERBY DR, MOBILE, AL 36695-3490
(251) 633-4447
(251) 633-4141
Mailing address
1908 FLINT RD SE, DECATUR, AL 35601-6031
(256) 340-9708
(256) 340-9624
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2132
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003819608
GROUP NPI
AL
05
—
529917620
—
AL
Enumeration date
11/11/2014
Last updated
11/11/2014
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